Abstract
A healthy middle-aged man presents with symptoms of dysphagia and dysphonia following an upper respiratory infection, and is diagnosed and treated for complications of pharyngitis. He presents for evaluation at a tertiary care hospital after symptoms fail to resolve, with the final diagnosis being a carotid artery dissection with compressing pseudoaneurysm. This patient's constellation of symptoms and physical examination findings are consistent with Collet-Sicard syndrome, a rare disorder caused by cranial nerve compression at the skull base. Understanding the morbidity of missing, or delaying, a diagnosis of carotid artery pathology, such as Collet-Sicard syndrome, underscores the importance of an accurate diagnosis. A review of cranial nerve anatomy, surrounding structures and potential mechanism of injury to the carotid artery are emphasised as key learning points.
Original language | English (US) |
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Article number | e243154 |
Journal | BMJ case reports |
Volume | 14 |
Issue number | 5 |
DOIs | |
State | Published - May 21 2021 |
Keywords
- cranial nerves
- interventional radiology
- neuroimaging
ASJC Scopus subject areas
- General Medicine