Abstract
A 69-year-old man with impaired consciousness, right hemiplegia, and aphasia was admitted
to our emergency room for thorough examination. Magnetic resonance imaging (MRI) and
3-dimensional computed tomography (3D CT) scan of the head revealed a cerebral infarction
due to dissection of the left internal carotid artery. Contrast-enhanced CT prior
to internal carotid artery stenting showed that the left elongated styloid process
ran in close proximity to the left internal carotid artery, with a minimum distance
of 2 mm. The patient underwent stenting at the internal carotid artery 16 days after
disease onset. The patient was referred to our department for left elongated styloid
process resection to reduce the risk of further internal carotid artery injury. Resection
of the left styloid process through a cervical incision was performed. Six months
after surgery, there was no recurrence of the internal carotid artery dissection.
Keywords
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References
- Elongated styloid processes: report of two cases.Arch Otolaryngol. 1937; 25: 584-587
- Neurological picture. Bilateral internal carotid artery dissection due to elongated styloid processes and shaking dancing.J Neurol Neurosurg Psychiatry. 2009; 80: 1154-1155
- Carotid artery dissection due to elongated styloid process.Neurology. 1999; 53: 1886-1887
- Symptomatic elongated styloid process; report of two cases of styloid process-carotid artery syndrome with operation.Arch Otolaryngol. 1949; 49: 490-503
- A radiographic analysis of styloid process.Japanese Oral Surgery. 1987; 33 (in Japanese): 2224-2229
- Elongated styloid process: report of a case.Japanese Oral Surgery. 1989; 35 (in Japanese): 684-688
- Carotid artery dissection caused by an elongated styloid process: three case reports and review of the literature.NMC Case Rep J. 2015; 2: 21-25
- Morphometric analysis of styloid process using multidetector computed tomography.J Craniofac Surg. 2015; 26: e438-e443
- Cervical carotid artery dissection is associated with styloid process length.Neurology. 2011; 77: 2061-2066
- Implicating the long styloid process in cervical carotid artery dissection.Neuroradiology. 2013; 55: 861-867
- Styloid and hyoid bone proximity is a risk factor for cervical carotid artery dissection.Stroke. 2013; 44: 2475-2479
- Internal carotid dissection caused by an elongated styloid process (Eagle syndrome).BMJ Case Rep. 2013; https://doi.org/10.1136/bcr-2013- 009878
- Eagle syndrome revisited:cerebrovascular complications.Ann Vasc Surg. 2012; 26 (e1-5): 729
- Carotid stent fracture due to eagle syndrome after endovascular stenting for the treatment of acute ischemic stroke caused by lnternal carotid artery dissection: case report.J Neuroendovascular Therapy. 2019; 13: 454-461
Article info
Publication history
Published online: February 08, 2023
Accepted:
January 11,
2023
Received:
November 14,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. All rights reserved.
