Nusbaum A O, Som P M, Dubois P, Silvers A R
Department of Radiology, Mount Sinai School of Medicine, City University of New York, NY, USA.
AJNR Am J Neuroradiol. 1998 Nov-Dec;19(10):1845-7.
A 40-year-old man had paralysis of the right vocal cord. Imaging showed a dissection of the extracranial internal carotid artery, and physical examination disclosed paresis of the right side of the soft palate. To our knowledge, this is only the second report of carotid dissection presenting as an isolated vagal neuropathy. Most often, multiple lower cranial nerves are involved. The CT, MR imaging, and MR angiographic findings are presented and the topic is reviewed.
一名40岁男性出现右侧声带麻痹。影像学检查显示颅外颈内动脉夹层,体格检查发现软腭右侧轻瘫。据我们所知,这是第二例以孤立性迷走神经病变形式出现的颈动脉夹层病例报告。大多数情况下,多条低位颅神经会受累。本文展示了CT、磁共振成像(MR)及磁共振血管造影(MRA)的检查结果并对该主题进行了综述。