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Br J Neurosurg 2021 Aug 19:1-4. Epub 2021 Aug 19.

Department of Neurosurgery, Albany Medical Center, Albany, NY, USA.

Background: Eagle syndrome (ES) was first described in 1937, to characterize elongation of the styloid process. It is rarely encountered by neurosurgeons but does present the potential for vascular sequelae and neurological complications.

Demonstrative Cases: We discuss three patients with uncommon presentations of neurovascular compromise with uncommon symptomatology, secondary to ES. Read More

J Stroke Cerebrovasc Dis 2022 May 13;31(8):106487. Epub 2022 May 13.

Department of Neurosurgery, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka 530-8480, Japan.

Objectives: An elongated styloid process may cause vascular Eagle syndrome that includes cervical carotid artery (CCA) dissection with stenosis and aneurysm formation. There are only four reported cases with vascular Eagle syndrome-related CCA dissecting aneurysm treated with carotid artery stenting (CAS). This is the first report of applying a dual-layer nitinol micromesh stent (CASPER) for vascular Eagle syndrome-related CCA dissecting aneurysm. Read More

Front Neurosci 2022 27;16:861511. Epub 2022 Apr 27.

Department of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China.

Objectives: Cervical radiotherapy can lead to accelerated carotid artery stenosis, increased incidence of stroke, and a higher rate of in-stent restenosis in irradiated patients. Our objective was to reveal the morphological characteristics of radiation-induced carotid stenosis (RICS) and the stent-vessel interactions in patients with previous cervical radiotherapy by optical coherence tomography (OCT).

Materials And Methods: Between November 2017 and March 2019, five patients with a history of cervical radiotherapy were diagnosed with severe carotid artery stenosis and underwent carotid artery stenting (CAS). Read More

Radiol Case Rep 2022 Jul 5;17(7):2299-2303. Epub 2022 May 5.

Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital, 2-37-20 Irumagawa Sayama, Saitama 350-1305, Japan.

We herein report a case of bilateral occipital arteries (OAs) arising from the thyrocervical trunks (TCTs). The patient was a 34-year-old woman with suspected basilar artery aneurysm underwent magnetic resonance (MR) angiography of the head and neck region using a 3-Tesla scanner. Cranial MR angiography revealed no aneurysm. Read More

Tech Vasc Interv Radiol 2022 Jun 11;25(2):100820. Epub 2022 Mar 11.

Department of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. Electronic address:

In addition to the basic techniques used in radiofrequency ablation of thyroid nodules, a variety of more advanced techniques have been developed. To address hyper-vascular nodules, vascular ablative techniques have been described. Protective hydro-dissection can be used around the carotid artery and the trachea to improve safety. Read More

Arch Soc Esp Oftalmol (Engl Ed) 2022 May 11;97(5):281-285. Epub 2022 Mar 11.

Departamento de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, Spain; Departamento de Oftalmología, Facultad de Medicina, Universidad de Valencia, Valencia, Spain.

We present a clinical situation where a 47-year old female patient consulted with left partial ptosis and miosis that started, two weeks before, with an episode of glandular fever secondary to Epstein-Barr infection. Apraclonidine 0.5% and Phenylephrine 1% drop testing was performed with results consistent with suspected left Horner Syndrome (HS), with a probable postganglionic location. Read More

Surg Neurol Int 2022 29;13:183. Epub 2022 Apr 29.

Department of Neurosurgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

Background: Eagle's syndrome is famous for one of the causes of internal carotid artery dissection. The treatment strategy for the illness, however, is not well established. Here, we report a case of internal carotid dissection due to an elongated styloid process successfully treated by carotid artery stenting (CAS). Read More

Br J Hosp Med (Lond) 2022 Apr 23;83(4):1-11. Epub 2022 Apr 23.

Department of Stroke Medicine, University Hospital Crosshouse, Kilmarnock, UK.

Cervical artery dissection is a major cause of ischaemic stroke in young adults. The diagnosis can be challenging as some patients may present with seemingly benign symptoms such as a headache, neck pain or dizziness. However, the neurological sequelae of a transient ischaemic attack, vision loss or ischaemic stroke are potentially devastating. Read More

Cureus 2022 Mar 27;14(3):e23535. Epub 2022 Mar 27.

Department of Internal Medicine, Saint Joseph Mercy Oakland Hospital, Pontiac, USA.

Antiphospholipid antibodies (aPLs) against Beta-2 glycoprotein-I (βGPI) are considered to be the center of pathogenesis of antiphospholipid syndrome (APS). Autoimmune aPLs are pathogenic as patients are at increased risk of enhancing thrombin generation at a young age. There are only three aPLs considered as diagnostic laboratory markers for APS - IgM, IgG, and IgA isotypes. Read More

J Vasc Surg Cases Innov Tech 2022 Jun 22;8(2):222-226. Epub 2022 Mar 22.

Department of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL.

Understanding and recognizing anatomic anomalies of the aortic arch is important when planning extra-anatomic debranching before thoracic endovascular aortic repair. A rare anomaly is the left vertebral artery aberrantly arising from the aortic arch; found in ∼5% of adults. When present, the artery courses through the carotid sheath at a variable length before entering the third or fourth cervical transverse foramen. Read More

Eur Arch Otorhinolaryngol 2022 Apr 29. Epub 2022 Apr 29.

Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan.

Purpose: Carotid artery invasion by metastatic lymph nodes in head and neck squamous cell carcinoma (HNSCC) is one of the diagnostic criteria for unresectable tumors. However, to date, the diagnostic criteria for carotid artery invasion have not been well documented. This study investigated the utility of computed tomography (CT) findings as a predictor of carotid artery invasion by metastatic lymph nodes in HNSCC. Read More

J Ultrasound 2022 Apr 28. Epub 2022 Apr 28.

Stroke Unit, Department of Emergency and Transplantation, Azienda Ospedaliera Universitaria Senese, Policlinico "Santa Maria Alle Scotte", Viale Mario Bracci, 16, 53100, Siena, Italy.

We report the case of a young woman affected by an aneurysmal subarachnoid haemorrhage (SAH) and numerous anatomic abnormalities. A Transcranial Colour-Coded Duplex Sonography, performed with the aim of monitoring the vasospasm, showed a non-pulsatile flow with loss of sharp systolic peak and lowering of mean flow velocities in the right extracranial Internal Carotid Artery (ICA) and all its intra-cranial branches. This event suggested a possible concomitant acute right ICA sub-occlusion with a lack of collateral circulation. Read More

Radiol Case Rep 2022 Jun 15;17(6):2170-2174. Epub 2022 Apr 15.

Department of Advanced Biomedical Sciences, Neuroradiology Unit, University "Federico II", Naples, Italy.

Ischemic stroke due to internal carotid artery occlusion is a potential devastating condition. More frequently the occlusions are embolic in nature, but sometimes they are caused by arterial dissection and their treatment is a challenge. We describe an illustrative case where a young patient with middle cerebral artery stroke caused by carotid artery dissection was submitted to endovascular treatment of mechanical thrombectomy and stenting, giving an excellent outcome. Read More

Spinal Cord Ser Cases 2022 04 27;8(1):46. Epub 2022 Apr 27.

Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Introduction: Cervical spondylosis can predispose patients to central canal stenosis. In this setting, myelopathy through further flattening of the cord from extrinsic compression can be precipitated by relatively minor traumas. Arterial dissection is similarly considered a result of high velocity or momentum during trauma, commonly associated with fractures, cervical hyperflexion, or direct blunt force to the neck. Read More

World Neurosurg 2022 Apr 22. Epub 2022 Apr 22.

Department of Neurological Surgery, Nippon Medical School Hospital, Tokyo, Japan.

Objective: Placing an extracranial-intracranial (EC-IC) high-flow bypass using a radial artery (RA) graft plus internal carotid artery (ICA) trapping or ligation is an option for treating patients expected to be at high risk for complications by direct surgical treatment of the ICA. We focused on the anastomosis between the external carotid artery (ECA) and the RA graft in the cervical region and present adverse events and salvage procedures.

Methods: EC-IC high-flow bypass procedures using an RA graft were performed to treat 87 consecutive patients. Read More

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096221089496

Mercyhealth Hospital, Riverside, IL, USA.

Cocaine use has been individually linked to both carotid and coronary artery dissections. However, their simultaneous occurrence has not been previously reported. A 30-year-old man who suffered an acute ischemic stroke and myocardial infarction secondary to acute carotid and coronary artery dissections, respectively, 16 hours after snorting cocaine. Read More

Cureus 2022 Mar 19;14(3):e23313. Epub 2022 Mar 19.

Neurosurgery, Komaki City Hospital, Komaki, JPN.

Here, we have demonstrated the efficacy of magnetic resonance contrast-enhanced vessel wall imaging (CE-VWI) as an ancillary examination for subarachnoid hemorrhage with bleeding points difficult to confirm by conventional vascular imaging. Case 1 had a ruptured small aneurysm with a size of 1.8 × 1. Read More

J Korean Neurosurg Soc 2022 May 25;65(3):422-429. Epub 2022 Apr 25.

Department of Radiology, Huashan Hospital Affiliated to Fudan University, Shanghai, China.

Objective: Extracranial supra-aortic dissections (ESADs) with severe stenosis, occlusion and/or pseudoaneurysm presents potential risk of stroke. Endovascular stenting to reconstruct non acute phase ESADs (NAP-ESADs) is an alternative to anticoagulant or antiplatelet therapy. However, its feasibility, safety and efficacy of stenting in NAP-ESADs is unclear. Read More

Interv Neuroradiol 2022 Apr 21:15910199221095789. Epub 2022 Apr 21.

Department of Neurology, 6915Mayo Clinic, Rochester, USA.

Introduction: Management of intracranial artery dissection (IAD) remains elusive in medical practice. Intracranially, vertebral artery dissection (VAD) is more commonly encountered than internal carotid artery dissection (ICAD). Deconstructive (EVT-d) and reconstructive (EVT-r) endovascular techniques have been utilized to treat VAD and ICAD. Read More

Case Rep Vasc Med 2022 11;2022:8156047. Epub 2022 Apr 11.

Baton Rouge Clinic Neurology, Baton Rouge, LA, USA.

In young adults, spontaneous craniocervical arterial dissections (sCAD), which involve the major arteries of the head and neck, are associated with an increased risk of stroke. sCAD occurs in the absence of major trauma as seen in traumatic craniocervical artery dissection. It may affect unilateral or bilateral carotid or vertebral arteries. Read More

Vasc Endovascular Surg 2022 Apr 20:15385744221088091. Epub 2022 Apr 20.

20130VA Puget Sound Health Care System, Tacoma, WA, USA.

Interact Cardiovasc Thorac Surg 2022 Apr 20. Epub 2022 Apr 20.

Department of Cardiovascular Surgery, University Hospital Frankfurt, Frankfurt, Germany.

Aberrant right subclavian artery (ARSA) is a rare congenital aortic arch anomaly. We report on a case of type A aortic dissection and ARSA. The 65-year-old female patient received replacement of the ascending aorta and arch repair using an uncovered AMDS (Ascyrus Medical Dissection Stent; CryoLife Inc, Kennesaw, GA, USA) with debranching of both common carotid arteries. Read More

Curr Med Imaging 2022 Apr 15. Epub 2022 Apr 15.

Department of Diagnostic Radiology, Faculty of Applied Medical Science, King Abdulaziz University, Jeddah, Saudi Arabia.

Background: Arterial stiffness is an important biomarker for cardiovascular disease. Shear wave elastography (SWE) provides quantitative estimates of tissue stiffness.

Objective: This study aimed to provide reference values for arterial wall, assessing the suitability of SWE to quantify elasticity of the common carotid artery (CCA) and evaluating inter- and intra-observer reproducibility. Read More

Heart Vessels 2022 Apr 16. Epub 2022 Apr 16.

Department of Cardiovascular Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.

We investigated whether supra-aortic vessel (SAV)s dissection is a risk factor for neurological dysfunction (ND) after surgical repair for type A acute aortic dissection (TAAAD). A retrospective review was done in 178 patients with TAAAD undergoing aortic repair between 2015 and 2019, comparing those with SAV dissection to those without it. Preoperatively, 93 patients (54. Read More

Neurohospitalist 2022 Apr 21;12(2):295-300. Epub 2022 Feb 21.

Department of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research & SSKM Hospital, Kolkata, West Bengal, India.

The alien limb is a phenomenon characterized by a cluster of clinical features wherein the limb behaves autonomously and as separated from a person's identity. We herein report a 36-year-old Indian female with multiple comorbidities who presented with recurrent episodes of limb-shaking transient ischemic attacks for 1 year, followed by left-sided hemiplegia. During recovering, the patient noticed a feeling that as if her left hand did not belong to herself and acted autonomously (alien limb phenomenon) along with visuospatial deficits. Read More

J Med Life 2022 Feb;15(2):222-227

Surgery Department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine.

The hybrid method of treating thoracic aortic pathology is devoid of the disadvantages of traditional open surgery and, at the same time, has a broader range of applications than the endovascular method. From 2014 to 2019, we researched 122 patients with thoracic aortic pathology treated with the hybrid method (open surgery with thoracic endovascular aortic repair (TEVAR) at the National M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Science of Ukraine. Read More

Cureus 2022 Mar 8;14(3):e22963. Epub 2022 Mar 8.

Neurology, Combined Military Hospital, Dhaka, BGD.

Carotid artery dissection is a significant cause of stroke in young patients. Here, we report a 33-year-old male who presented with right homonymous hemianopia and paresthesia of the right side of the body. Magnetic resonance imaging (MRI) of the brain revealed an acute infarct in the left parieto-occipital region. Read More

Ugeskr Laeger 2022 Apr;184(15)

Neurologisk Afdeling, Odense Universitetshospital.

JTCVS Tech 2022 Apr 26;12:1-11. Epub 2022 Jan 26.

Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Mich.

Objective: To evaluate central aortic cannulation and arch branch vessel (ABV) cannulation in acute type A aortic dissection repair.

Methods: From 2015 to April 2020, 298 patients underwent open repair of an acute type A aortic dissection. Patients undergoing femoral cannulation for cardiopulmonary bypass (n = 34) were excluded. Read More

Int Cancer Conf J 2022 Apr 1;11(2):119-123. Epub 2022 Feb 1.

Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi 981-1293 Japan.

Head and neck cancer involving the carotid artery is usually unresectable. Such involvement often leads to exposure of the carotid artery and the risk of its blow-out. Carotid covered stent placement may be effective in preventing carotid blow-out; however, thus far, there are few published reports of this procedure. Read More