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  • Title: Facial diplegia complicating a bilateral internal carotid artery dissection.
    Author: Gout O, Bonnaud I, Weill A, Moulignier A, Quenet JJ, Moret J, Bakouche P.
    Journal: Stroke; 1999 Mar; 30(3):681-6. PubMed ID: 10066871.
    Abstract:
    BACKGROUND AND PURPOSE: We report a case of facial diplegia complicating a bilateral internal carotid artery dissection. CASE DESCRIPTION: A 49-year-old patient presented with unilateral headache and oculosympathetic paresis. Cerebral angiography revealed a bilateral internal carotid artery dissection. A few days later, the patient developed a facial diplegia that regressed after arterial recanalization. An arterial anatomic variation may explain this ischemic complication of carotid dissection. CONCLUSIONS: Double carotid dissection should be included among the causes of bilateral seventh nerve palsy.
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