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Extracranial internal carotid artery aneurysm presenting as symptomatic hypoglossal and glossopharyngeal nerve paralysis

Published online by Cambridge University Press:  08 March 2006

L. J. Wilding
Affiliation:
Department of Radiology, Eastbourne District General Hospital, UK
D. C. Howlett
Affiliation:
Department of Radiology, Eastbourne District General Hospital, UK
H. J. Anderson
Affiliation:
Department of Radiology, Eastbourne District General Hospital, UK
P. D. Sangle
Affiliation:
Department of Otolaryngology, Eastbourne District General Hospital, UK
N. Violaris
Affiliation:
Department of Otolaryngology, Eastbourne District General Hospital, UK
G. H. Evans
Affiliation:
Department of Cardiology, Eastbourne District General Hospital, UK
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Abstract

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Aneurysms of the extracranial portion of the internal carotid artery are rare, particularly in young patients. They usually develop following trauma, or secondary to infection involving the parapharyngeal space that extends to the vessel wall. This is a case of an internal carotid artery aneurysm presenting acutely following chiropractic neck manipulation with hypoglossal and glossopharyngeal nerve palsy. The imaging findings and subsequent operative management are described.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2004