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

J Laryngol Otol. 2004 Feb;118(2):150-2. doi: 10.1258/002221504772784649.

Abstract

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm / complications*
  • Aneurysm / diagnosis
  • Aneurysm / surgery
  • Carotid Artery Diseases / complications*
  • Carotid Artery Diseases / diagnosis
  • Carotid Artery Diseases / surgery
  • Carotid Artery, Internal* / diagnostic imaging
  • Carotid Artery, Internal* / pathology
  • Carotid Artery, Internal* / surgery
  • Female
  • Glossopharyngeal Nerve Diseases / diagnosis
  • Glossopharyngeal Nerve Diseases / etiology*
  • Glossopharyngeal Nerve Diseases / surgery
  • Humans
  • Hypoglossal Nerve Diseases / diagnosis
  • Hypoglossal Nerve Diseases / etiology*
  • Hypoglossal Nerve Diseases / surgery
  • Magnetic Resonance Imaging
  • Manipulation, Chiropractic / adverse effects
  • Middle Aged
  • Radiography