Original Article Internal Carotid Artery Dissection (ICAD) Presenting as Isolated Hypoglossal Nerve Palsy – A Case Report
DOI:
https://doi.org/10.15713/ins.bhj.182Abstract
Abstract:
As compared to other cranial nerves, hypoglossal nerve palsy is rare; and is often associated with other lower cranial nerve palsies. The most common causes of hypoglossal nerve palsies are tumors followed by trauma, stroke, surgery, infection, and multiple sclerosis. We report a case of a 55-year-old male presenting with dysphagia, dysarthria, and difficult mastication. He was diagnosed to have isolated hypoglossal nerve palsy secondary to compression by Internal Carotid Artery Dissection (ICAD). He was treated conservatively with antiplatelets and showed improvement on a 6-month follow-up. ICAD is a dangerous entity with possible endangering complications and hence recognition of it is critical for appropriate treatment and prevention of possible complications. ICAD should be considered in differential diagnosis for isolated hypoglossal nerve palsy
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© The Author(s). 2024 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons. org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated.
