Hypoglossal-Nerve Palsy Caused by Carotid Dissection

A 56-year-old man presented with severe left-sided headache unresponsive to several aspirin tablets. Although the headache subsided within 3 days, he noted progressive difficulties in articulation and a deviation of his tongue to the left (Figure 1). Figure 1. Deviation of the tongue to the left. A magnetic resonance image of the head and neck showed a thickened …