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Disyección carotídea interna espontánea con tinnitus pulsátil y pérdida de audición
Binisha Joshi1, Paul Bolaji2, Yae Chun3
1Internal Medicine, Stroke Medicine, Dorset County Hospital, Dorchester, GBR.
Cureus
|September 2, 2025
Resumen
La disección de la arteria carótida interna rara vez causa tinnitus pulsátil y pérdida de audición. Este caso destaca la participación simultánea de los nervios craneales V, VII, VIII, IX y X con el síndrome de Horner por disección de ICA.
Área de la Ciencia:
- Neurología
- Cirugía vascular
- Otorrinolaringología
Sus antecedentes:
- La disección de la arteria carótida interna (ICA) generalmente se presenta con dolor de cabeza, dolor de cuello o síntomas de accidente cerebrovascular anterior.
- Las presentaciones menos comunes incluyen el síndrome de Horner y los déficits del nervio craneal inferior (IX-XII).
- El tinnitus pulsátil y la pérdida de audición rara vez se asocian con la disección de ICA, por lo general están vinculados a la disección de la arteria vertebral.
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