Facial diplegia complicating a bilateral internal carotid artery dissection.
case_report · Level V
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- Record sourced from PubMed, PMID 10066871.
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Abstract
We report a case of facial diplegia complicating a bilateral internal carotid artery dissection. A 49-year-old patient presented with unilateral headache and oculosympathetic paresis. Cerebral angiography revealed a bilateral internal carotid artery dissection. A few days later, the patient developed a facial diplegia that regressed after arterial recanalization. An arterial anatomic variation may explain this ischemic complication of carotid dissection. Double carotid dissection should be included among the causes of bilateral seventh nerve palsy.
Medical subject headings
- Aortic Dissection
- Carotid Artery Diseases
- Facial Paralysis