Neurology, University of Colorado - Anschutz Medical Campus, Aurora, Colorado, USA
Neurology, The Johns Hopkins Hospital, Baltimore, Maryland, USA.
BMJ Case Rep. 2021 May 21;14(5):e243154. doi: 10.1136/bcr-2021-243154.
A healthy middle-aged man presents with symptoms of dysphagia and dysphonia following an upper respiratory infection, and is diagnosed and treated for complications of pharyngitis. He presents for evaluation at a tertiary care hospital after symptoms fail to resolve, with the final diagnosis being a carotid artery dissection with compressing pseudoaneurysm. This patient's constellation of symptoms and physical examination findings are consistent with Collet-Sicard syndrome, a rare disorder caused by cranial nerve compression at the skull base. Understanding the morbidity of missing, or delaying, a diagnosis of carotid artery pathology, such as Collet-Sicard syndrome, underscores the importance of an accurate diagnosis. A review of cranial nerve anatomy, surrounding structures and potential mechanism of injury to the carotid artery are emphasised as key learning points.
一位健康的中年男性，在上呼吸道感染后出现吞咽困难和声音嘶哑的症状，并被诊断和治疗为咽炎的并发症。他在症状未缓解后到三级保健医院就诊，最终诊断为颈动脉夹层伴压迫假性动脉瘤。该患者的症状和体格检查结果与 Collet-Sicard 综合征一致，这是一种罕见的疾病，由颅底颅神经受压引起。了解漏诊或延迟诊断颈动脉病变（如 Collet-Sicard 综合征）的发病率，强调了准确诊断的重要性。重点介绍了颅神经解剖、周围结构和颈动脉损伤的潜在机制的复习，作为关键的学习要点。
