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A Staged Therapy for Internal Carotid Artery Dissection Caused by Vascular Eagle Syndrome
- Source :
- World Neurosurgery. 129:133-139
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Eagle syndrome with stroke onset is a rare condition. Carotid stenting of dissected arteries and/or surgical resection of the elongated styloid process are frequently performed; however, there are no definitive criteria for selecting these treatments. Case Description A 46-year-old man presented with left hemiplegia. Acute infarction in the right frontal and parietal lobes and bilateral internal carotid artery (ICA) dissection due to the elongated styloid process were diagnosed via magnetic resonance imaging and computed tomography angiography. He was treated with stenting of the left ICA dissection, with observation of the right ICA dissection. However, the right ICA dissection deteriorated 4 days after the initial event, and additional stenting was performed. He underwent bilateral prophylactic styloidectomy with an extraoral approach 8 months after symptom onset. At >3 years after the styloidectomy, he has not experienced recurrence of the infarction. Conclusions Stenting in the acute phase prevented the recurrence of stroke, and styloid process resection in the chronic phase cured vascular Eagle syndrome. This staged therapy could be beneficial in the treatment of vascular Eagle syndrome.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Infarction
Carotid Artery, Internal, Dissection
Dissection (medical)
03 medical and health sciences
0302 clinical medicine
medicine.artery
medicine
Humans
Orthopedic Procedures
cardiovascular diseases
Stroke
Computed tomography angiography
Internal carotid artery dissection
medicine.diagnostic_test
business.industry
Ossification, Heterotopic
Endovascular Procedures
Temporal Bone
Eagle syndrome
Middle Aged
medicine.disease
Surgery
030220 oncology & carcinogenesis
Stents
Neurology (clinical)
Internal carotid artery
Carotid stenting
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18788750
- Volume :
- 129
- Database :
- OpenAIRE
- Journal :
- World Neurosurgery
- Accession number :
- edsair.doi.dedup.....21b0697b4fb30a75ea3fe0969bb4e324