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Hayarpi H Kordjian¹, Anita G Petersen²

¹Øre, Næse og Halsafdelingen, Københavns Universitetshospital - Nordsjællands Hospital, Hillerød.

Ugeskrift for Laeger

|April 28, 2023

Summary

This summary is machine-generated.

A previously healthy man experienced tongue swelling, headache, and lisping, leading to a diagnosis of internal carotid artery dissection. Prompt treatment with antiplatelets resulted in a full recovery within three months.

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Area of Science:

Neurology
Vascular Neurology
Otorhinolaryngology

Background:

A case report details a 38-year-old man with no prior health issues presenting with tongue swelling.
Symptoms included severe headache and lisping, with a history of recent chiropractic neck manipulation.

Observation:

Physical examination revealed isolated left hypoglossal nerve palsy.
Urgent referral to neurology was initiated due to the neurological findings.

Findings:

Magnetic resonance angiography confirmed internal carotid artery dissection.
Treatment involved dual antiplatelet therapy with aspirin and clopidogrel.

Implications:

This case highlights the importance of considering vascular causes, such as carotid artery dissection, in patients presenting with neurological deficits and head/neck symptoms.

Early diagnosis and treatment can lead to complete symptom resolution and favorable outcomes.