Hypoglossal nerve palsy due to cervical ICA dissection and pseudoaneurysm: A case treated with endovascular stent placement

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.