A Case of Collet-Sicard Syndrome Resulting from Jugular Vein ?Thrombosis

J Korean Neurol Assoc > Volume 12(2); 1994 > Article

Journal of the Korean Neurological Association 1994;12(2): 348-353.

경정맥 혈전중에 의한 COLLET-SICARD 증후군 1례

문태순, 성기범,신동진

중앙 길 병원 신경과.

A Case of Collet-Sicard Syndrome Resulting from Jugular Vein ?Thrombosis

Tae Sun Moon, M.D., Ki Bum Sung, M.D., Dong Jin Shin, M.D.

Department of Neurology, Chung Ang Gil Hospital

Abstract

Collet-Sicard syndrome is one of the syndromes of the multiple lower cranial nerve palsies, characterized by unilateral paralysis of 9th through 12th cranial nerves. The present report describes a 34-year-old woman who had hoarseness, dysarthria, and loss of taste developed after febrile illness. Brain MRI, both T1WI and T2WI, showed high signal intensity in the left jugular foramen. Gd-GTPA contrast injection revealed thickening and enhancement of the left tentorium. Angiography disclosed nonvisualization of the left transverse and sigmoid sinus, and reconstruction of the left internal and external jugular vein by collaterals from the angular, facial, and posterior fossa veins. The patient improved spontaneously two months later. This is the first report of Collet-Sicard syndrome resulting from jugular vein thrombosis.