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Reminder of important clinical lesson
Carotid artery dissection causing hypoglossal nerve palsy
  1. Elliot Epstein1,
  2. Muhammed Azeem Khan2,
  3. David Francis3,
  4. Priyo Sada4,
  5. Makarand Thuse4
  1. 1Stroke Medicine, Walsall Manor Hospital, Walsall, UK
  2. 2Stroke Medicine, Manor Hospital, Walsall, UK
  3. 3Neurology Department, Manor Hospital, Walsall, UK
  4. 4Imaging Department, Manor Hospital, Walsall, UK
  1. Correspondence to Dr Elliot Epstein, elliot.epstein{at}walsallhealthcare.nhs.uk

Summary

A 45-year-old man was admitted with a 4 day history of right facial pain and on examination, there was atrophy of the right side of the tongue. Magnetic resonance angiography demonstrated carotid artery dissection and aspirin was commenced.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.