Villaret's syndrome caused by internal carotid artery dissection
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- Mizutani Saneyuki
- Department of Internal Medicine, Bokutoh Metropolitan Hospital
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- Tsukuura Reiko
- Department of Internal Medicine, Bokutoh Metropolitan Hospital
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- Matsumura Ken
- Department of Internal Medicine, Bokutoh Metropolitan Hospital
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- Watanabe Mutsufusa
- Department of Internal Medicine, Bokutoh Metropolitan Hospital
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- Hanakawa Ichiro
- Department of Neurosurgery, Bokutoh Metropolitan Hospital
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- Kamata Tomoyuki
- Department of Internal Medicine, Bokutoh Metropolitan Hospital
Bibliographic Information
- Other Title
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- Villaret症候群を呈した内頸動脈解離の1例
- Villaret ショウコウグン オ テイシタ ナイ ケイドウミャク カイリ ノ 1レイ
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Abstract
We report a patient with Villaret's syndrome (left hypoglossopharyngeal nerve, vagus nerve, accessory nerve, and hypoglossal nerve palsies and left Horner's sign) caused by internal carotid artery dissection. He had neck pain on the left side, Horner's sign on the left side and paralysis of the left hypoglossopharyngeal nerve, vagus nerve, accessory nerve, and hypoglossal nerve. Brain MRI revealed no signal from the left internal carotid artery and no brain infarction, although a tumor-like lesion was observed in the left internal carotid artery. Subsequent MRI studies revealed intramural hematoma in the left internal carotid artery, and on the basis of this finding, he was diagnosed with internal carotid artery dissection. He received anticoagulant and antiplatelet therapy. His symptoms improved gradually.<br> The symptoms of internal carotid artery dissection are neck pain, Horner's sign, brain infarction, and lower cranial nerve palsy. A characteristic feature in this case was that brain infarction was not observed. Only 3 similar cases have been reported in the past. In all these cases, the patients had a good clinical course and showed complete recovery from the symptoms. Compared with western countries, in Japan, carotid artery dissection is rare. Carotid artery dissection should be considered as a differential diagnosis of lower cranial nerve palsy.<br>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 51 (8), 608-611, 2011
Societas Neurologica Japonica
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Details 詳細情報について
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- CRID
- 1390001205036177536
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- NII Article ID
- 10031164047
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- NII Book ID
- AN00253207
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- ISSN
- 18820654
- 0009918X
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- NDL BIB ID
- 11209829
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- PubMed
- 21878729
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed