Wessels T, Spitzer C, Sparing R, Klötzsch C
Zentrum für Neurologie und Neurochirurgie,Klinik für Neurologie,Universitätsklinikum Giessen (UKG).
Nervenarzt. 2003 Feb;74(2):175-8. doi: 10.1007/s00115-002-1470-5.
Cranial nerve palsy has a variety of causes such as cerebral ischemia, nerve ischemia in diabetes, infectious and noninfectious meningitis, subarachnoid hemorrhage, malignant tumors of the skull base, neck, or upper mediastinum, aortic aneurysm, surgery of the thyroid,and many more. We report two cases of spontaneous carotid dissections leading to cranial nerve palsies, which is an uncommon cause of isolated cranial nerve palsies.ICA dissection must therefore be included in the differential diagnosis of lower cranial nerve palsy and should be assessed by duplex ultrasound and MRI as is demonstrated in our cases.
颅神经麻痹有多种病因，如脑缺血、糖尿病性神经缺血、感染性和非感染性脑膜炎、蛛网膜下腔出血、颅底、颈部或上纵隔的恶性肿瘤、主动脉瘤、甲状腺手术等等。我们报告两例自发性颈动脉夹层导致颅神经麻痹的病例，这是孤立性颅神经麻痹的一种罕见病因。因此，在低位颅神经麻痹的鉴别诊断中必须考虑颈内动脉夹层，并且应如我们病例所示通过双功超声和磁共振成像进行评估。
