Hypoglossal Nerve Palsy Due to Cervical ICA Dissection and Pseudoaneurysm: A Case Treated with Endovascular Stent Placement

Authors

Jacob J. Bruckner, HCA HealthcareFollow
Tam Truong-Faulds
Soheil Sharifi-Amina, HCA HealthcareFollow
Michael Mousa, HCA HealthcareFollow

Division

Far West

Hospital

Riverside Community Hospital

Document Type

Case Report

Publication Date

8-20-2025

Keywords

Hypoglossal nerve, Internal carotid artery, Nerve compression, Neuroradiology, Pseudoaneurysm

Disciplines

Cardiovascular Diseases | Nervous System Diseases | Radiology

Abstract

Internal carotid artery dissection and pseudoaneurysm is a rare vascular abnormality that can result in a wide range of morbidity and mortality. There is a variety of treatment options that are often dependent on the degree of presenting symptoms. The case presented herein is that of a 43-year-old man that is otherwise healthy presenting with cranial neuropathy related to a left internal carotid artery pseudoaneurysm. Although cases can be medically managed, in symptomatic patients, stent grafting provides the greatest risk/benefit ratio.

Publisher or Conference

Radiology Case Reports

Recommended Citation

Bruckner JJ, Truong-Faulds T, Sharifi-Amina S, Mousa M. Hypoglossal nerve palsy due to cervical ICA dissection and pseudoaneurysm: A case treated with endovascular stent placement. Radiol Case Rep. 2025;20(11):5627-5631. Published 2025 Aug 20. doi:10.1016/j.radcr.2025.07.044