Nowak, Dennis A. and Linden, Rainer and Arnold, Peggy and Seitz, Veronika and Stangl, Katrin and Wendl, Christina and Schlachetzki, Felix (2022) Case report: A complicated course of Collet-Sicard syndrome after internal carotid artery dissection and lenticulo-striatal artery infarction. FRONTIERS IN NEUROLOGY, 13: 939236. ISSN 1664-2295,
Full text not available from this repository. (Request a copy)Abstract
A 40-year-old Caucasian man presented with sudden onset of left-sided hemiparesis associated with dysphonia, dysphagia, and right-sided weakness on shoulder elevation and head rotation. The clinical examination revealed deviation of the tongue to the right, absence of right-sided gag reflex, right-sided palatal and vocal cord paresis, and weakness of the right trapezius and sternocleidomastoid muscles; all were in addition to left-sided brachiocephalic-accentuated hemiparesis. The diagnostic examination revealed dissection of the right carotid artery with occlusion of the middle cerebral artery and infarction in the lenticular-striatal artery territory. Mechanical thrombectomy with stent angioplasty of the right internal carotid artery was performed. The paresis of the left side of the body completely regressed within a week after symptom onset, but the dysphonia, weakness of the right trapezius and sternocleidomastoid muscles, and especially dysphagia persisted and regressed slowly but gradually. The patient required percutaneous gastric tube feeding for the next 12 weeks, possibly because of involvement of subcortical white matter tracts. The constellation of symptoms and clinical findings were consistent with Collet-Sicard syndrome, an extremely rare disorder caused by direct compression of the caudal cranial nerves at the base of the skull.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PALSY; carotid artery dissection; dysphagia; dysphonia; skull base pathology; dysphagia and rehabilitation |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurologie Medicine > Zentrum für Neuroradiologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 17 Oct 2023 13:38 |
| Last Modified: | 17 Oct 2023 13:38 |
| URI: | https://pred.uni-regensburg.de/id/eprint/56494 |
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