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  1. Article ; Online: Carotid artery dissection due to elongated styloid process: a self-stabbing phenomenon.

    Razak, Anmar / Short, Jody L / Hussain, Syed I

    Journal of neuroimaging : official journal of the American Society of Neuroimaging

    2014  Volume 24, Issue 3, Page(s) 298–301

    Abstract: Elongated styloid process (ESP) is an anatomical variant that has been described as the cause of Eagle syndrome. Until recently, the styloid process has not been appreciated as a significant contributor to carotid artery dissection (CAD), which is not ... ...

    Abstract Elongated styloid process (ESP) is an anatomical variant that has been described as the cause of Eagle syndrome. Until recently, the styloid process has not been appreciated as a significant contributor to carotid artery dissection (CAD), which is not part of Eagle syndrome. We present a case of a 41-year-old male who presented with acute right middle cerebral artery occlusion and was found to have ESP projecting to and abutting the lateral wall of a dissected right internal carotid artery (ICA). Forced sustained head turning with maximal muscle contraction was the initiating event driving the styloid process into the wall of the ICA in a manner that can be likened to being stabbed with a pointed object. Knowing the association between ESP, Eagle syndrome, and CAD shall lead to increased awareness and appropriate diagnosis and treatment.
    MeSH term(s) Adult ; Carotid Artery, Internal, Dissection/diagnosis ; Carotid Artery, Internal, Dissection/etiology ; Humans ; Magnetic Resonance Imaging ; Male ; Ossification, Heterotopic/complications ; Ossification, Heterotopic/diagnosis ; Ossification, Heterotopic/therapy ; Temporal Bone/abnormalities ; Tomography, X-Ray Computed ; Treatment Outcome
    Language English
    Publishing date 2014-05
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1071724-9
    ISSN 1552-6569 ; 1051-2284
    ISSN (online) 1552-6569
    ISSN 1051-2284
    DOI 10.1111/j.1552-6569.2012.00759.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Endovascular treatment of symptomatic intracranial atherosclerotic disease.

    Short, Jody L / Majid, Arshad / Hussain, Syed I

    Frontiers in neurology

    2011  Volume 1, Page(s) 160

    Abstract: Symptomatic intracranial atherosclerotic disease (ICAD) is responsible for approximately 10% of all ischemic strokes in the United States. The risk of recurrent stroke may be as high as 35% in patient with critical stenosis >70% in diameter narrowing. ... ...

    Abstract Symptomatic intracranial atherosclerotic disease (ICAD) is responsible for approximately 10% of all ischemic strokes in the United States. The risk of recurrent stroke may be as high as 35% in patient with critical stenosis >70% in diameter narrowing. Recent advances in medical and endovascular therapy have placed ICAD at the forefront of clinical stroke research to optimize the best medical and endovascular approach to treat this important underlying stroke etiology. Analysis of symptomatic ICAD studies lead to the question that whether angioplasty and/or stenting is a safe, suitable, and efficacious therapeutic strategy in patients with critical stenoses that are deemed refractory to medical management. Most of the currently available data in support of angioplasty and/or stenting in high risk patients with severe symptomatic ICAD is in the form of case series and randomized trial results of endovascular therapy versus medical treatment are awaited. This is a comprehensive review of the state of the art in the endovascular approach with angioplasty and/or stenting of symptomatic ICAD.
    Language English
    Publishing date 2011-02-14
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295 ; 1664-2295
    ISSN (online) 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2010.00160
    Database MEDical Literature Analysis and Retrieval System OnLINE

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