Extracranial Internal Carotid Arterial Dissection With Hypoglossal Nerve Palsy Caused by Cervical Self-Massage: A Case Report

Internal carotid arterial dissection is a relatively rare condition that can cause neck pain and/or ischemic symptoms. Cranial nerve palsy caused by internal carotid arterial dissection is extremely rare. A 39-year-old male massaged his neck with his fingers. He experienced transient neck pain. Afte...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 9
Main Author Shibata, Yasushi
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 19.09.2023
Cureus
Subjects
Aneurysms
Carotid arteries
Case reports
Dissection
Dysarthria
Emergency Medicine
Ischemia
Medical imaging
Neck pain
Neurological disorders
Neurology
Neurosurgery
Outpatient care facilities
Veins & arteries
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Summary:Internal carotid arterial dissection is a relatively rare condition that can cause neck pain and/or ischemic symptoms. Cranial nerve palsy caused by internal carotid arterial dissection is extremely rare. A 39-year-old male massaged his neck with his fingers. He experienced transient neck pain. After one week, he demonstrated hypoglossal nerve palsy. The radiological studies revealed extracranial internal carotid arterial dissection. Cervical self-massage may cause internal carotid arterial dissection and hypoglossal nerve palsy. For the patient with hypoglossal nerve palsy, the extracranial internal carotid artery should be investigated.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.45516