I agree with the PT colleagues given the fact that the vagus nerve
travels in the same sheath as the carotid this possibility should be considered. A neurologist
can certainly look further into the situation, and perform a good neurologic exam looking for deficits; if there is such a suspicion, an MRI
may be indicated to examine the features of the right vagus nerve.
Dr Brenes-Salazar MD
Mayo Clinic MN