Document Detail


Unilateral macroglossia as sole presenting manifestation of internal carotid artery dissection.
MedLine Citation:
PMID:  21938704     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A patient presented with acute-onset, painless, unilateral enlargement of the tongue. Steroid treatment for angioedema was ineffective, and a biopsy of an apparent mass of the tongue base showed normal tissue. Subsequent magnetic resonance imaging showed enlargement, enhancement, asymmetric T2 hyperintensity of the left half of the tongue, and dissection of the left cervical internal carotid artery (ICA) at the skull base. Unilateral enlargement of the tongue due to acute neurogenic denervation may be the sole clinical presentation of a spontaneous arterial dissection at the skull base. The hypoglossal neuropathy resulted from compression by the pseudoaneurysmal ICA dilatation or ischemia from interruption of the vasa nervorum.
Authors:
Joerg-Patrick Stübgen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  90     ISSN:  1942-7522     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  434-6     Citation Subset:  IM    
Affiliation:
Department of Neurology and Neuroscience, Weill Cornell Medical College/New York Presbyterian Hospital, 525 E. 68th St., New York, NY 10065-4897, USA. pstuebge@med.cornell.edu.
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