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Journal Article

Citation

Mann A, Kujath S, Friedell ML, Hardouin S, Wood C, Carter R, Stark K. Ann. Vasc. Surg. 2016; 40: 295.e5-295.e8.

Affiliation

University of Missouri-Kansas City School of Medicine, 2301 Holmes, Kansas City, MO 64108.

Copyright

(Copyright © 2016, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1016/j.avsg.2016.07.077

PMID

27890834

Abstract

As classically described, Eagle syndrome is an entity where patients develop pain or neurologic manifestations arising from an elongated styloid process and/or an ossified stylohyoid ligament irritating or compressing adjacent cranial nerves or the carotid arteries. Over the past few years, there have been reports of actual injury to the internal carotid artery with dissection, occlusion and strokes. We present three cases identified after blunt trauma-one due to carotid compression and two due to actual injury to the internal carotid artery. Eagle syndrome should be a consideration in any patient with a carotid injury due to blunt trauma or suffering a syncopal episode which led to blunt trauma. Carotid stenting is an effective treatment modality for injury to the carotid artery when anticoagulation is contraindicated. Styloidectomy is performed for symptoms due to carotid artery compression, or if there is concern for future carotid injury from the styloid process.

Copyright © 2016. Published by Elsevier Inc.


Language: en

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