Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomy

Eagle syndrome represents an anatomic variant present in 4% of the population. It is characterized by an elongated styloid process or ossified stylohyoid ligament with resultant irritation of cervical neurovascular structures. Common manifestations include craniofacial or cervical pain related to co...

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Main Authors: Kathryn DiLosa, MD, MPH, Joel Harding, DO, Nikunj Donde, MD, Dustin Silverman, MD, Thomas Heafner, MD
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723002812
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author Kathryn DiLosa, MD, MPH
Joel Harding, DO
Nikunj Donde, MD
Dustin Silverman, MD
Thomas Heafner, MD
author_facet Kathryn DiLosa, MD, MPH
Joel Harding, DO
Nikunj Donde, MD
Dustin Silverman, MD
Thomas Heafner, MD
author_sort Kathryn DiLosa, MD, MPH
collection DOAJ
description Eagle syndrome represents an anatomic variant present in 4% of the population. It is characterized by an elongated styloid process or ossified stylohyoid ligament with resultant irritation of cervical neurovascular structures. Common manifestations include craniofacial or cervical pain related to compression of the glossopharyngeal nerve. In rare cases, patients can present with a stroke or transient ischemic attack due to associated carotid artery injury. Fewer than 25 prior case reports describe vascular symptoms in the setting of associated carotid artery dissection and, in one case, a pseudoaneurysm. Our case report details the diagnosis and management of symptomatic carotid artery stenosis secondary to vascular Eagle syndrome.
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spelling doaj.art-9b4b3c5dc2b740bcb2e1c346f3316b612024-01-26T05:34:16ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-02-01101101372Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomyKathryn DiLosa, MD, MPH0Joel Harding, DO1Nikunj Donde, MD2Dustin Silverman, MD3Thomas Heafner, MD4Division of Vascular Surgery, Department of Surgery, University of California Davis, Sacramento, CA; Correspondence: Kathryn DiLosa, MD, MPH, Division of Vascular Surgery, Department of Surgery, University of California Davis, 2335 Stockton Blvd, North Office Addition Bldg, 5th Fl, Sacramento, CA 95817Division of Vascular Surgery, Department of Surgery, University of California Davis, Sacramento, CADivision of Vascular Surgery, Department of Surgery, University of California Davis, Sacramento, CADivision of Otolaryngology, Department of Surgery, University of California Davis, Sacramento, CADivision of Vascular Surgery, Department of Surgery, University of California Davis, Sacramento, CAEagle syndrome represents an anatomic variant present in 4% of the population. It is characterized by an elongated styloid process or ossified stylohyoid ligament with resultant irritation of cervical neurovascular structures. Common manifestations include craniofacial or cervical pain related to compression of the glossopharyngeal nerve. In rare cases, patients can present with a stroke or transient ischemic attack due to associated carotid artery injury. Fewer than 25 prior case reports describe vascular symptoms in the setting of associated carotid artery dissection and, in one case, a pseudoaneurysm. Our case report details the diagnosis and management of symptomatic carotid artery stenosis secondary to vascular Eagle syndrome.http://www.sciencedirect.com/science/article/pii/S2468428723002812Carotid arteryCerebrovascular diseaseStylocarotid
spellingShingle Kathryn DiLosa, MD, MPH
Joel Harding, DO
Nikunj Donde, MD
Dustin Silverman, MD
Thomas Heafner, MD
Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomy
Journal of Vascular Surgery Cases and Innovative Techniques
Carotid artery
Cerebrovascular disease
Stylocarotid
title Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomy
title_full Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomy
title_fullStr Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomy
title_full_unstemmed Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomy
title_short Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomy
title_sort symptomatic carotid stenosis in eagle syndrome managed with traditional endarterectomy and styloidectomy
topic Carotid artery
Cerebrovascular disease
Stylocarotid
url http://www.sciencedirect.com/science/article/pii/S2468428723002812
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