Hommel M, Pollak P, Gaio J M, Pellat J, Perret J, Chateau R
Rev Neurol (Paris). 1984;140(6-7):415-21.
Palsies of the lower cranial nerves caused by a compressive pathological carotid artery are not common. Three cases of paralysis of the hypoglossal nerve, hypoglossal and vagus, hypoglossal, glossopharyngeal and vagus nerves, are reported. In 2 patients the symptoms were related to an extracranial carotid artery aneurysm below the base of the skull and in 1 patient to a spontaneous carotid dissecting aneurysm. It is possible that some localized arterial dissecting aneurysms evolve to a localized aneurysmal sac, especially if they are located between Cl and the base of the skull. The tongue paralysis disappeared in 2 patients.
由压迫性病理性颈动脉引起的下颅神经麻痹并不常见。本文报告了3例舌下神经麻痹、舌下神经与迷走神经联合麻痹、舌下神经、舌咽神经与迷走神经联合麻痹的病例。2例患者的症状与颅底以下的颈外动脉动脉瘤有关，1例患者的症状与自发性颈动脉夹层动脉瘤有关。一些局限性动脉夹层动脉瘤有可能演变为局限性动脉瘤囊，特别是当它们位于C1和颅底之间时。2例患者的舌麻痹症状消失。
