Surgical Management of a Patient with an Internal Carotid Artery Stenosis, Eagle Syndrome, and Internal Carotid Artery Tortuosity: A Case of Four Pathologies of the Carotid Arteries.

Carotid artery coiling Carotid stenosis Eagle syndrome

Journal

EJVES vascular forum
ISSN: 2666-688X
Titre abrégé: EJVES Vasc Forum
Pays: England
ID NLM: 101766732

Informations de publication

Date de publication:
2021
Historique:
received: 16 10 2020
revised: 07 12 2020
accepted: 09 01 2021
entrez: 1 3 2021
pubmed: 2 3 2021
medline: 2 3 2021
Statut: epublish

Résumé

In 1937, W.W. Eagle first described two clinical cases of elongated styloid process causing compression of adjacent anatomical structures. A case of left internal carotid artery (ICA) stenosis, Eagle syndrome (bilateral), ICA tortuosity, and occlusion of the right carotid arteries is presented. A 67 year old man was referred following ischaemic stroke two months previously. Computed tomography (CT) revealed the pathologies described. Intervention was performed under general anaesthesia. The digastric muscle was transected, and the styloid process was resected. Carotid endarterectomy with end to end anastomosis between the crossed ends of the ICA was carried out using a temporary shunt due to occlusion of the contralateral carotid arteries. The patient was discharged on the third post-operative day. The case described shows that one stage surgical treatment of ICA stenosis, coiling, and Eagle syndrome gives good results.

Identifiants

pubmed: 33644775
doi: 10.1016/j.ejvsvf.2021.01.002
pii: S2666-688X(21)00003-4
pmc: PMC7887635
doi:

Types de publication

Case Reports

Langues

eng

Pagination

37-39

Informations de copyright

© 2021 The Author(s).

Références

Eur J Vasc Endovasc Surg. 2004 Nov;28(5):494-9
pubmed: 15465370
Int J Dent. 2009;2009:781297
pubmed: 20339566
J Neurosurg. 2009 Jan;110(1):90-3
pubmed: 18821836
Ann Vasc Surg. 2020 Feb;63:460.e9-460.e11
pubmed: 31629844
J Stomatol Oral Maxillofac Surg. 2017 Dec;118(6):353-358
pubmed: 28705777
Neurohospitalist. 2019 Apr;9(2):105-108
pubmed: 30915189
Ann Vasc Surg. 2016 Jul;34:271.e15-8
pubmed: 27174357
J Vasc Surg. 2012 Jan;55(1):61-71.e1
pubmed: 22051863
Ann Vasc Surg. 2012 May;26(4):572.e15-7
pubmed: 22305474

Auteurs

Grigol Keshelava (G)

Department of Vascular Surgery, Helsicore, Tbilisi, Georgia.

Rati Kurdadze (R)

Department of Vascular Surgery, Helsicore, Tbilisi, Georgia.

Devi Tsiklauri (D)

Department of Vascular Surgery, Helsicore, Tbilisi, Georgia.

Classifications MeSH