Carotid artery dissection due to elongated styloid process treated by acute phase carotid artery stenting: A case report

Abstract

Background: Eagle’s syndrome is famous for one of the causes of internal carotid artery dissection. The treatment strategy for the illness, however, is not well established. Here, we report a case of internal carotid dissection due to an elongated styloid process successfully treated by carotid artery stenting (CAS). Case Description: A 72-year-old male with temporary dysarthria and consciousness disorder was diagnosed to suffer from multiple cerebral infarctions due to Eagle’s syndrome. A cerebral blood flow (CBF) study revealed decreased blood flow and a CAS was performed 15 days after admission to preserve antegrade blood flow, resulting in full recovery of the affected CBF. Conclusion: We reported a case of vascular Eagle’s syndrome in which the patient showed fluctuated neurological deficits successfully treated by CAS. Our experience suggests that cases of vascular Eagle’s syndrome due to hemodynamic stress can be treated by CAS.

Eagle syndrome: An updated review

“…The demographic, clinical characteristics, treatment strategies, and follow-up of the patients are summarized in Table 1 . [ 1 , 2 , 5 , 6 , 10 , 14 - 16 , 18 - 21 , 23 , 24 , 27 , 30 , 31 , 37 , 38 , 42 - 47 , 50 - 52 , 54 , 55 , 57 ]…”

Extracranial internal carotid artery-dissecting aneurysm having a re-entry tear and causing lower cranial nerve palsies treated with flow-diverting stent: A case report

“…Some cases of ICA dissection with an elongated styloid process that was treated by stent placement have been described. [ 6 , 9 , 13 , 14 ] In addition, four case reports described the fracture or compression of a stent placed in the ICA by an elongated styloid process. [ 6 , 11 , 13 , 14 ] Styloid process resection (styloidectomy) should be considered after stent placement because an elongated styloid process can compress and damage the placed stent.…”