{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T18:00:48Z","timestamp":1780077648291,"version":"3.54.0"},"reference-count":7,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,10]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>A healthy middle-aged man presents with symptoms of dysphagia and dysphonia following an upper respiratory infection, and is diagnosed and treated for complications of pharyngitis. He presents for evaluation at a tertiary care hospital after symptoms fail to resolve, with the final diagnosis being a carotid artery dissection with compressing pseudoaneurysm. This patient\u2019s constellation of symptoms and physical examination findings are consistent with Collet-Sicard syndrome, a rare disorder caused by cranial nerve compression at the skull base. Understanding the morbidity of missing, or delaying, a diagnosis of carotid artery pathology, such as Collet-Sicard syndrome, underscores the importance of an accurate diagnosis. A review of cranial nerve anatomy, surrounding structures and potential mechanism of injury to the carotid artery are emphasised as key learning points.<\/jats:p>","DOI":"10.1136\/bcr-2021-243154","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T12:16:14Z","timestamp":1621599374000},"page":"e243154","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Dysphagia, dysphonia and a deviated tongue: diagnosing Collet-Sicard syndrome"],"prefix":"10.1136","volume":"14","author":[{"given":"Jennifer","family":"Evan","sequence":"first","affiliation":[{"name":"Neurology, University of Colorado - Anschutz Medical Campus, Aurora, Colorado, USA"},{"name":"Neurology, The Johns Hopkins Hospital, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Johansen","sequence":"additional","affiliation":[{"name":"Neurology, The Johns Hopkins Hospital, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee Michael","family":"Akst","sequence":"additional","affiliation":[{"name":"Otolaryngology, The Johns Hopkins Hospital, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"2025082709224393000_14.5.e243154.1","doi-asserted-by":"crossref","first-page":"266","DOI":"10.5812\/archneurosci.26670","article-title":"Cervical artery dissection: a review of the epidemiology, pathophysiology, treatment, and outcome","volume":"2","author":"Blum","year":"2015","journal-title":"Arch Neurosci"},{"key":"2025082709224393000_14.5.e243154.2","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.nrl.2013.04.002","article-title":"S\u00edndrome de Collet-Sicard","volume":"30","author":"Guti\u00e9rrez R\u00edos","year":"2015","journal-title":"Neurolog\u00eda"},{"key":"2025082709224393000_14.5.e243154.3","doi-asserted-by":"crossref","DOI":"10.1155\/2010\/203587","article-title":"Collet-Sicard syndrome from thrombosis of the sigmoid-jugular complex: a case report and review of the literature","volume":"2010","author":"Handley","year":"2010","journal-title":"Int J Otolaryngol"},{"key":"2025082709224393000_14.5.e243154.4","doi-asserted-by":"publisher","DOI":"10.1086\/344776"},{"key":"2025082709224393000_14.5.e243154.5","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0813-8"},{"key":"2025082709224393000_14.5.e243154.6","doi-asserted-by":"crossref","DOI":"10.1016\/S0140-6736(11)60206-7","article-title":"Coughing into the darkness","volume":"377","author":"Salameh","year":"2011","journal-title":"Lancet"},{"key":"2025082709224393000_14.5.e243154.7","doi-asserted-by":"crossref","first-page":"omw078","DOI":"10.1093\/omcr\/omw078","article-title":"A rare presentation of spontaneous internal carotid artery dissection with Horner's syndrome, VIIth, xth and XIIth nerve palsies","volume":"2016","author":"Majeed","year":"2016","journal-title":"Oxf Med Case Reports"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243154","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:22:46Z","timestamp":1756311766000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":7,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,21]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bcr-2021-243154"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243154","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}