Abstract
Carotid Artery Dissection (CAD) typically presents with an acute onset of neck pain and headache. It can occur spontaneously or secondary to neck trauma. Neck trauma can be major following a road traffic accident or assault, or can be minor, for example, through coughing, sneezing or hiccups. There is also a postulated link between CAD and upper respiratory tract infections. Here we describe an unusual case of CAD presenting as a hypoglossal nerve palsy which was preceded by a coryzal illness. It highlights the importance of maintaining a high index of suspicion in patients with acute focal neurology. The early diagnosis and management of CAD helps to prevent complications such as ischemic stroke or loss of vision.
Highlights
Carotid Artery Dissection (CAD) typically presents with an acute onset of neck pain and headache
A 49-year-old gentleman was referred by his GP to the acute medical unit. He presented with a four day history of a sudden onset of left posterior neck pain and left sided ear ache
CAD occurs due to a tear being formed in the tunica intima, resulting in an intramural haematoma and the creation of a false lumen (Figure 5)
Summary
Carotid Artery Dissection (CAD) typically presents with an acute onset of neck pain and headache. He presented with a four day history of a sudden onset of left posterior neck pain and left sided ear ache. He developed a gradual onset of slurred speech and difficulty in moving his tongue. Seven days prior to this hospital presentation, he complained of having developed a mild coryzal illness with an occasional dry cough.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
