AI Article Synopsis

  • - A 37-year-old man presented with amaurosis fugax (temporary vision loss) and was diagnosed with internal carotid artery (ICA) dissection and aneurysm, attributed to an elongated styloid process and a fracture.
  • - Imaging techniques, including CTA and digital subtraction angiography, confirmed the ruptured ICA and the presence of Eagle's syndrome, which is associated with elongated styloid processes.
  • - After two weeks of antiplatelet therapy failed to resolve the issues, the patient underwent successful endovascular treatment involving coil embolization and stenting to manage the aneurysm and dissection.

Article Abstract

Background: Mechanical stimulation may lead to internal carotid artery (ICA) dissection and aneurysm.

Case Description: We encountered a rare case of ICA dissection and aneurysm with prolonged styloid process (SP) fracture. A 37-year-old sales worker presented with right-sided amaurosis fugax. After admission to a nearby optical clinic, he was admitted to our hospital. Computed tomography angiography (CTA) and digital subtraction angiography showed dissection and apparent aneurysmal change in the right cervical portion of the ICA. CTA also showed elongated SPs, so we diagnosed Eagle's syndrome, and fracture of the right-side process. After 2 weeks of antiplatelet therapy, the aneurysm enlarged and dissection remained, so we treated the patient with coil embolization and stenting.

Conclusion: We encountered a rare case of ICA dissection and aneurysm with Eagle's syndrome. Endovascular treatment was performed because the SP was fractured.

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Source
http://dx.doi.org/10.4103/0028-3886.338648DOI Listing

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