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British Journal of Radiology (2005) 78, 659-661
© 2005 British Institute of Radiology
doi: 10.1259/bjr/57426025
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Internal carotid artery dissection presenting with ipsilateral tenth and twelfth nerve palsies and apparent mass lesion on MRI

J Knibb, MA, MRCP R Lenthall, MRCP, MSc, FRCR and N Bajaj, MA, MRCP, PhD

Queen's Medical Centre, Derby Road, Nottingham NG7 2UH, UK



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  		Figure 1. (a) Axial T1 weighted image showing a rounded soft tissue lesion at the skull base with well defined low signal components. The tonsillar loop was not appreciated at this stage. (b) Axial T1 weighted image following contrast showing enhancement of the soft tissue "tumour" encasing the carotid.

 


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  		Figure 2. Cerebral angiogram: common carotid run showing a dissection of the internal carotid artery extending into a tonsillar loop.

 




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