Carotid Dissection and Isolated Paralysis of Ipsilateral Half Tongue: Clinical Cases
Objective. We report two cases of carotid dissection revealed by isolated paralysis of the ipsilateral half tongue. Observations. First patient, 52 years old, with no particular medical or surgical history, presented with isolated paralysis of the left half tongue preceded by two weeks of moderate-i...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/8853206 |
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| _version_ | 1850120680838791168 |
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| author | Komi Igneza Agbotsou Damelan Kombate Christopher Mehri Kossivi Apetse Kpalma Duga Bakpatina-Batako Olivier Guerrier Albert Beschet Karine Blanc Lasserre Ludovic Breynaert Victor Chan |
| author_facet | Komi Igneza Agbotsou Damelan Kombate Christopher Mehri Kossivi Apetse Kpalma Duga Bakpatina-Batako Olivier Guerrier Albert Beschet Karine Blanc Lasserre Ludovic Breynaert Victor Chan |
| author_sort | Komi Igneza Agbotsou |
| collection | DOAJ |
| description | Objective. We report two cases of carotid dissection revealed by isolated paralysis of the ipsilateral half tongue. Observations. First patient, 52 years old, with no particular medical or surgical history, presented with isolated paralysis of the left half tongue preceded by two weeks of moderate-intensity cervicalgia and having been the subject to cervical manipulation. MRI revealed dissection of the left internal carotid artery in its prepetrous portion. The evolution after 6 weeks of platelet aggregating inhibitors treatment was favorable. The second patient, 74 years old, with no particular medical or chirurgical history, presented with a sudden onset of paralysis of the left half tongue preceded by unusual headaches associated with neck pain. Brain MRI showed aneurysmal ectasia of the left internal carotid with parietal irregularity suggestive of carotid dissection. The evolution after four weeks of treatment with anticoagulant was favorable. Conclusion. Carotid dissection revealed by isolated paralysis of the half tongue is rare. It is generally of good prognosis. However, in paralysis of half tongue, it must be urgently sought and treated to reduce the risk of a transient or constituted ischemic accident. |
| format | Article |
| id | doaj-art-60ab25c1ac704dbbbcb5fab0232e21b9 |
| institution | OA Journals |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-60ab25c1ac704dbbbcb5fab0232e21b92025-08-20T02:35:18ZengWileyCase Reports in Neurological Medicine2090-66682090-66762020-01-01202010.1155/2020/88532068853206Carotid Dissection and Isolated Paralysis of Ipsilateral Half Tongue: Clinical CasesKomi Igneza Agbotsou0Damelan Kombate1Christopher Mehri2Kossivi Apetse3Kpalma Duga Bakpatina-Batako4Olivier Guerrier5Albert Beschet6Karine Blanc Lasserre7Ludovic Breynaert8Victor Chan9Neurology Department of Valence Hospital Center, Valence, FranceNeurology Department of Campus Teaching Hospital, Lome, TogoNeurology Department of Valence Hospital Center, Valence, FranceNeurology Department of Campus Teaching Hospital, Lome, TogoNeurology Department of Campus Teaching Hospital, Lome, TogoNeurology Department of Valence Hospital Center, Valence, FranceNeurology Department of Valence Hospital Center, Valence, FranceNeurology Department of Valence Hospital Center, Valence, FranceNeurology Department of Valence Hospital Center, Valence, FranceNeurology Department of Valence Hospital Center, Valence, FranceObjective. We report two cases of carotid dissection revealed by isolated paralysis of the ipsilateral half tongue. Observations. First patient, 52 years old, with no particular medical or surgical history, presented with isolated paralysis of the left half tongue preceded by two weeks of moderate-intensity cervicalgia and having been the subject to cervical manipulation. MRI revealed dissection of the left internal carotid artery in its prepetrous portion. The evolution after 6 weeks of platelet aggregating inhibitors treatment was favorable. The second patient, 74 years old, with no particular medical or chirurgical history, presented with a sudden onset of paralysis of the left half tongue preceded by unusual headaches associated with neck pain. Brain MRI showed aneurysmal ectasia of the left internal carotid with parietal irregularity suggestive of carotid dissection. The evolution after four weeks of treatment with anticoagulant was favorable. Conclusion. Carotid dissection revealed by isolated paralysis of the half tongue is rare. It is generally of good prognosis. However, in paralysis of half tongue, it must be urgently sought and treated to reduce the risk of a transient or constituted ischemic accident.http://dx.doi.org/10.1155/2020/8853206 |
| spellingShingle | Komi Igneza Agbotsou Damelan Kombate Christopher Mehri Kossivi Apetse Kpalma Duga Bakpatina-Batako Olivier Guerrier Albert Beschet Karine Blanc Lasserre Ludovic Breynaert Victor Chan Carotid Dissection and Isolated Paralysis of Ipsilateral Half Tongue: Clinical Cases Case Reports in Neurological Medicine |
| title | Carotid Dissection and Isolated Paralysis of Ipsilateral Half Tongue: Clinical Cases |
| title_full | Carotid Dissection and Isolated Paralysis of Ipsilateral Half Tongue: Clinical Cases |
| title_fullStr | Carotid Dissection and Isolated Paralysis of Ipsilateral Half Tongue: Clinical Cases |
| title_full_unstemmed | Carotid Dissection and Isolated Paralysis of Ipsilateral Half Tongue: Clinical Cases |
| title_short | Carotid Dissection and Isolated Paralysis of Ipsilateral Half Tongue: Clinical Cases |
| title_sort | carotid dissection and isolated paralysis of ipsilateral half tongue clinical cases |
| url | http://dx.doi.org/10.1155/2020/8853206 |
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