Hemilingual edema as a warning sign for internal carotid artery dissection—a case report and literature review

Asymmetric tongue swelling may serve as an early and underrecognized sign of ICAD, particularly when accompanied by ipsilateral headache or cranial neuropathy. Early identification and appropriate imaging are essential to ensure timely diagnosis and reduce the risk of ischemic complications. Hemilingual edema likely results from sympathetic dysfunction due to local neurovascular involvement.

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Publication Details

Journal
Frontiers in Medicine
Published
2026-03-09
DOI
https://doi.org/10.3389/fmed.2026.1765232
Primary Topic
Intracranial Aneurysms: Treatment and Complications
Type
article
Field-Weighted Citation Impact
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article

Hemilingual edema as a warning sign for internal carotid artery dissection—a case report and literature review

Florian Antonescu, Sorin Tuţǎ, Dana Antonescu-Ghelmez, Ioana Butnariu et al.
Frontiers in Medicine
Intracranial Aneurysms: Treatment and Complications
article

Hemilingual edema as a warning sign for internal carotid artery dissection—a case report and literature review

Florian Antonescu, Sorin Tuţǎ, Dana Antonescu-Ghelmez, Ioana Butnariu, Vlad-Iulian Lăptoiu, Adriana Bidea, Florentina-Melania Cojocaru, Iulia-Ana Maria Mitrică
article en

Abstract

Asymmetric tongue swelling may serve as an early and underrecognized sign of ICAD, particularly when accompanied by ipsilateral headache or cranial neuropathy. Early identification and appropriate imaging are essential to ensure timely diagnosis and reduce the risk of ischemic complications. Hemilingual edema likely results from sympathetic dysfunction due to local neurovascular involvement.

Frontiers in MedicineVol. 13
Carol Davila University of Medicine and Pharmacy (RO), Unitika (Japan) (JP)
Good health and well-being
Openalex Percentile: Top 35%
Intracranial Aneurysms: Treatment and Complications
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