Faculty mentor/PI email address

jim010@aol.com

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1

Keywords

Collet–Sicard syndrome; internal carotid artery dissection; dysphagia; cranial nerve palsy; cervical self-manipulation; jugular foramen syndrome; emergency medicine

Date of Presentation

5-6-2026 12:00 AM

Poster Abstract

We report a case of a 40-year-old male presenting with progressive dysphagia who was ultimately diagnosed with Collet–Sicard syndrome secondary to internal carotid artery (ICA) dissection. While most reported cases are associated with trauma, this case highlights an atypical etiology following cervical self-manipulation. The patient presented with dysphagia to solids, liquids, and saliva, along with several days of ipsilateral headache and neck pain. Neurologic examination revealed tongue deviation, prompting advanced imaging. CTA demonstrated left ICA dissection, which was further characterized on MRI. The patient was managed with dual antiplatelet therapy and multidisciplinary care, including neurology, neurosurgery, and speech-language pathology, and was discharged after clinical stabilization. This case underscores the importance of recognizing rare neurologic causes of common complaints such as dysphagia.

Disciplines

Medicine and Health Sciences | Nervous System Diseases

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May 6th, 12:00 AM

Collet–Sicard Syndrome Secondary to Internal Carotid Artery Dissection Following Cervical Self-Manipulation

We report a case of a 40-year-old male presenting with progressive dysphagia who was ultimately diagnosed with Collet–Sicard syndrome secondary to internal carotid artery (ICA) dissection. While most reported cases are associated with trauma, this case highlights an atypical etiology following cervical self-manipulation. The patient presented with dysphagia to solids, liquids, and saliva, along with several days of ipsilateral headache and neck pain. Neurologic examination revealed tongue deviation, prompting advanced imaging. CTA demonstrated left ICA dissection, which was further characterized on MRI. The patient was managed with dual antiplatelet therapy and multidisciplinary care, including neurology, neurosurgery, and speech-language pathology, and was discharged after clinical stabilization. This case underscores the importance of recognizing rare neurologic causes of common complaints such as dysphagia.

 

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