• Hypoglossal nerve dysfunction may result from compression or stretching by enlargement of the ipsilateral cervical carotid artery undergoing spontaneous dissection. Tongue paralysis associated with transient ischemia should localize the lesion to the neck.
Goodman JM, Zink WL, Cooper DF. Hemilingual Paralysis Caused by Spontaneous Carotid Artery Dissection. Arch Neurol. 1983;40(10):653–654. doi:10.1001/archneur.1983.04050090089016
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