Hypoglossal nerve palsy as the sole manifestation of spontaneous internal carotid artery dissection

Marin, Luís Fabiano; Bichuetti, Denis Bernardi; Felı́cio, André Carvalho; Santos, William Adolfo Celso dos; Oliveira, Fabricio Ferreira de; Morita, Márcia Elisabete; Avelar, Wagner Mauad; Braga‐Neto, Pedro; Lima, Elaine Cristina dos Santos; Martins, Ricardo

doi:10.1590/s0004-282x2009000100025

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…This observation may be related to a significantly better understanding of the relevance of guidelines for the participants possessing an OMPT specialization. Although an increasing number of primary studies suggest the importance of CNE when examining the neck region to inform pattern recognition of sinister clinical conditions [13,47,[49][50][51][52][53][54][55][56][57][58][59][60][61][62][63], our findings may reflect the lack of high-quality evidence for CN involvement in NAD IV. To the best of the authors' knowledge, no specific data are available to support the diagnostic accuracy of a complete CNE.…”

Section: Key Findingsmentioning

confidence: 95%

“…Subtle transient neurological signs and symptoms, such as headache (81%), neck pain (57-80%), dizziness (32%), visual disturbance (34%), paresthesia (19-34%) [18], CN palsies [12,13,[52][53][54][55][56][57][58], Horner' syndrome, and tinnitus [54], are common predictors of potential serious pathologies (e.g., vascular pathologies) [18]. The cause of these conditions can be disabling or even lethal; therefore, understanding how to recognize, diagnose, and appropriately evaluate them is of great importance to all clinicians.…”

Section: Key Findingsmentioning

confidence: 99%

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Assessing Cranial Nerves in Physical Therapy Practice: Findings from a Cross-Sectional Survey and Implication for Clinical Practice

et al. 2021

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Background and objective: Serious pathologies of the neck can potentially result in cranial nerve palsy. Knowledge about cranial nerve examination (CNE) seems sparse, and its use is still unknown. We aim to investigate the knowledge, skills, and utilization of CNE of Italian physiotherapists. Materials and Methods: An online cross-sectional survey. Results: 396 completed the survey, reaching the required sample size. Although Italian physiotherapists consider CNE relevant (mean ± SD = 7.6/10 ± 2.0), over half of all responders (n = 229 (57.8%)) were not trained in the fundamentals and around a third did not use it in their daily practice (n = 138 (34.8%)). Additionally, participants were unconfident and insecure in conducting (n = 152 (38.4%) and n = 147 (37.1%)), interpreting (n = 140 (35.4%) and n = 164 (41.4%)), and managing the CNE (n = 141 (35.6%) and n = 154 (38.9%)). Possessing a musculoskeletal specialization was associated with an increased value attributed to clinical practice guidelines and reduced the lack of confidence in conducting, interpreting, and managing the CNE (respectively, n = 35 (25.5%), p = 0.0001; n = 32 (23.4%) p = 0.0002; n = 32 (23.4%) p = 0.0002). Working in a direct access setting significantly increased the considered relevance of guidelines and the concerns about arterial (p = 0.004) and other serious pathologies (p = 0.021). Pain and visual disturbances were considered the main indicators to CNE, demonstrating limited knowledge of signs and symptoms’ indicating CNE. Participants considered specific training in CNE as relevant (mean ± SD = 7.6/10 = 2.1). Conclusions: a substantial proportion of Italian physiotherapists are not schooled in the fundamentals of cranial nerve examination. Given the number of physiotherapists who work in first contact roles, this is a professional concern.

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Section: Key Findingsmentioning

confidence: 95%

Section: Key Findingsmentioning

confidence: 99%

Assessing Cranial Nerves in Physical Therapy Practice: Findings from a Cross-Sectional Survey and Implication for Clinical Practice

et al. 2021

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“…36,39,40 Horner's syndrome has been reported in approximately 33% of ICADs 37,41 and 14.3% of VADs. 41 Risk factors for CAD that may be identified in the history…”

Section: Overviewmentioning

confidence: 99%

Manual therapy and cervical artery dysfunction: Identification of potential risk factors in clinical encounters

Vaughan

Moran

Tehan

et al. 2016

International Journal of Osteopathic Medicine

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“…), environmental factors (recent infection, trauma or cervical manipulation) and risk factors (hypertension, migraine, low cholesterol levels, and body mass index) may lead to the development of CD. [1][2][3][4][5][6][7][8][9] Clinical presentation varies according to the artery involved. Ipsilateral headache and focal symptoms are often associated with the area of cerebral or retinal ischemia.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous carotid dissection

Flumignan

Nakano

et al. 2017

Rev. Assoc. Med. Bras.

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Hypoglossal nerve palsy as the sole manifestation of spontaneous internal carotid artery dissection

Cited by 8 publications

References 10 publications

Assessing Cranial Nerves in Physical Therapy Practice: Findings from a Cross-Sectional Survey and Implication for Clinical Practice

Assessing Cranial Nerves in Physical Therapy Practice: Findings from a Cross-Sectional Survey and Implication for Clinical Practice

Manual therapy and cervical artery dysfunction: Identification of potential risk factors in clinical encounters

Spontaneous carotid dissection

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