{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T04:29:53Z","timestamp":1759206593521,"version":"3.41.2"},"reference-count":13,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>Cervical artery dissection (CAD) represents a leading cause of unilateral lower cranial nerve IX\u2013XII palsy, known as Collet\u2013Sicard syndrome (CSS). High\u2010resolution magnetic resonance imaging (HR\u2010MRI) is widely used in the evaluation of patients with CAD, providing information regarding vessel wall abnormalities and intraluminal thrombus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We present a patient with palsy of multiple lower cranial nerves in the context of CSS, attributed to unilateral spontaneous internal carotid artery dissection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We describe a 68\u2010year\u2010old man with unremarkable previous history, who presented with subacute, gradually worsening dysphagia and hoarse voice. Clinical examination revealed right\u2010sided palsy of cranial nerves IX\u2013XII. Three\u2010dimensional fat\u2010saturated black\u2010blood T1\u2010weighted high\u2010resolution vessel wall imaging disclosed spontaneous dissection with intramural hematoma along the distal right internal carotid artery. Neck MRI showed inward displacement of right aryepiglottic fold, right pyriform sinus dilatation, and right true vocal cord in middle position, indicative of right vagus nerve palsy, atrophy of right trapezius and sternocleidomastoid muscles, due to right spinal accessory nerve palsy, and unilateral tongue atrophy with fatty infiltration, characteristic for right hypoglossal nerve palsy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This case highlights the utility of high\u2010resolution vessel wall imaging and especially fat\u2010saturated T1\u2010weighted black\u2010blood SPACE (sampling perfection with application\u2010optimized contrast using different flip\u2010angle evolutions) sequences in the accurate diagnosis of CAD, revealing the characteristic mural hematoma and intimal flap. HR\u2010MRI is also valuable in the recognition of indirect signs of lower cranial nerve compression.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.16398","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T08:27:34Z","timestamp":1721377654000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Collet\u2013Sicard syndrome due to cervical artery dissection disclosed by high\u2010resolution <scp>magnetic resonance imaging<\/scp>"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7229-2610","authenticated-orcid":false,"given":"Aikaterini","family":"Theodorou","sequence":"first","affiliation":[{"name":"Second Department of Neurology \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanos","family":"Lachanis","sequence":"additional","affiliation":[{"name":"Iatropolis Magnetic Resonance Diagnostic Centre  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia","family":"Papagiannopoulou","sequence":"additional","affiliation":[{"name":"Second Department of Neurology \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Maili","sequence":"additional","affiliation":[{"name":"Second Department of Neurology \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioanna","family":"Pachi","sequence":"additional","affiliation":[{"name":"Second Department of Neurology \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Velonakis","sequence":"additional","affiliation":[{"name":"Second Department of Radiology \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleni","family":"Bakola","sequence":"additional","affiliation":[{"name":"Second Department of Neurology \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Vassilopoulou","sequence":"additional","affiliation":[{"name":"First Department of Neurology \u201cEginition\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0640-3797","authenticated-orcid":false,"given":"Georgios","family":"Tsivgoulis","sequence":"additional","affiliation":[{"name":"Second Department of Neurology \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens  Athens Greece"},{"name":"Department of Neurology University of Tennessee Health Science Center  Memphis Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1470-2045(03)01097-0"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00062-019-00867-0"},{"key":"e_1_2_10_4_1","first-page":"121","article-title":"Sur un nouveau syndrome paralytique pharyngo\u2010larynge par blessure de guerre (hemiplegie 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