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