ArticleSurgical neurology international2020
Dynamic assessment of internal carotid artery and elongated styloid process in a case of bilateral carotid artery dissection.
Article in Surgical neurology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Neurological phenotypes and treatment outcomes in Eagle syndrome: systematic review and meta-analysis.PeerJ · 2024Pooled it
- Anatomical characteristics of the styloid process associated with internal carotid artery dissection: a systematic review and meta-analysis of controlled trials.Frontiers in radiology · 2026Review
- Bilateral carotid dissection due to Eagle syndrome: case report.Jornal vascular brasileiro · 2026Article
- Dynamic imaging evaluation of the positional relationship between the elongated styloid process and the carotid artery stent using cone-beam CT: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Article
- Vascular Eagle Syndrome in Elderly Patients Diagnosed by Dynamic Magnetic Resonance Angiography: A Case Report and Literature Review.NMC case report journal · 2025Article
- Ischemic stroke due to stylocarotid artery syndrome: a case report and review.The Journal of international medical research · 2024Review
- Surgical management of stylocarotid Eagle syndrome in a patient with bilateral internal carotid artery dissection: illustrative case.Journal of neurosurgery. Case lessons · 2024Article
- Eagle syndrome: An updated review.Surgical neurology international · 2023Review
- Eagle syndrome and carotid artery dissection: a rare skull base cause of stroke.BMJ case reports · 2022Article
- Carotid artery dissection due to elongated styloid process treated by acute phase carotid artery stenting: A case report.Surgical neurology international · 2022Article
- Recurrence of internal carotid artery dissection associated with elongated styloid process: A case report.Surgical neurology international · 2021Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVascular Eagle syndrome is that an elongated styloid process causes ischemic stroke due to internal carotid artery (ICA) dissection. Dynamic assessment using radiological imaging has not been well investigated. We assessed the change in the relative positional relationship between the elongated styloid process and the ICA using a cone-beam computed tomography (CBCT). CASE DESCRIPTION: A 46-year-old female presenting with disturbance of consciousness, right hemiparesis, and aphasia was admitted to our hospital. Initial CT analysis showed a bilateral elongated styloid process. Magnetic resonance angiography (MRA) showed occlusion of the left ICA and a near occlusion of the right ICA. MRA also revealed the intimal flap and intramural hematoma in the bilateral ICA. Digital subtraction angiography showed bilateral ICA occlusion and carotid artery stenting was performed subsequently. After that, we visualized the movement of carotid stent with CBCT fusion methods. The stent moved forward and backward at the attachment point of the styloid process during head rotation, and there was a possibility that mechanical stress was emphasized at this point. Styloidectomy was performed after her rehabilitation. The patient did not experience a recurrence of stroke.
conclusionWe showed that repeated attachment of the styloid process and ICA may trigger an ICA dissection during head rotation. This finding would be helpful for understanding the causes of vascular Eagle syndrome.
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