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Recurrent internal carotid artery dissection due to missed diagnosis of Eagle's Syndrome.
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The clinical image illustrates an unusual case of a patient with bilateral carotid artery dissection caused by compression from elongated styloid processes. In this case, the diagnosis was overlooked eight years earlier. Eagle's syndrome, marked by an elongated styloid process, can result in cervical artery dissection, highlighting the significance of recognizing this correlation in recurrent cases, which occur more frequently than idiopathic ICA dissections.
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Aberrant carotid arteries are rare vascular anomalies that can significantly complicate head and neck surgeries, particularly in pediatric patients. These anomalies may be asymptomatic and are often discovered incidentally on imaging studies performed for unrelated conditions. The failure to recognize these anomalies preoperatively can result in life-threatening complications, such as catastrophic hemorrhage.
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Article Synopsis
- * There are no established management guidelines for CFFT, and while patent foramen ovale (PFO) is a common heart abnormality, it typically isn't linked to stroke risk unless in younger patients (<55 years) where it might cause paradoxical embolism.
- * This text presents a unique case of stroke with two potential causes: CFFT and a large PFO, raising the question of which factor was the actual cause of the stroke.
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