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Facial diplegia complicating a bilateral internal carotid artery dissection
1Departments of Neurology, Interventional Neuroradiology, Fondation Ophtalmologique A. de Rothschild, Paris, France. ogout@fo-rothschild.fr
Stroke
|March 6, 1999
Abstract
Background And Purpose:
We report a case of facial diplegia complicating a bilateral internal carotid artery dissection.
Case Description:
A 49-year-old patient presented with unilateral headache and oculosympathetic paresis. Cerebral angiography revealed a bilateral internal carotid artery dissection. A few days later, the patient developed a facial diplegia that regressed after arterial recanalization. An arterial anatomic variation may explain this ischemic complication of carotid dissection.
Conclusions:
Double carotid dissection should be included among the causes of bilateral seventh nerve palsy.