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Eagle syndrome: Transient ischemic attack and subsequent carotid dissection

November 8, 2018  |  Thomas Sullivan, MD; Jordan Rosenblum, MD

Prophylactic contralateral styloidectomy was considered for this patient, but he was deemed a poor surgical candidate given his underlying cardiomyopathy and anticoagulation.

Endoscopic view of the carotid artery in the sphenoid sinus

September 27, 2018  |  Eiji Yanagisawa, MD, FACS; Dewey A. Christmas, MD; Joseph P. Mirante, MD, MBA, FACS

The sphenoid sinus has been described as the most variable, in shape and size, of any bilateral cavity or organ in the human body.

Medially displaced common and internal carotid arteries presenting as a pulsatile mass: Clinicoradiologic analysis of 62 cases

April 30, 2017  |  Ilker Burak Arslan, MD; Yildiz Arslan, MD; Erhan Demirhan, MD; Selahattin Genc, MD; Yeliz Pekcevik, MD; Levent Altin, MD; Zahide Yilmaz, MD; Ibrahim Cukurova, MD


We conducted a prospective study to analyze the medially displaced courses of the common carotid artery (CCA) and the cervical segment of the internal carotid artery (ICA) in patients who were diagnosed with a pulsatile mass on nasopharyngolaryngoscopy and by clinicoradiologic...

Common carotid artery dissection: A rare cause of acute neck swelling

March 2, 2015  |  Muhammad Adil Abbas Khan, MBBS, MRCS, DOHNS, FCPS(Plast); Alasdair Moffat, MBBS; Waseem Ahmed, MBBS, MRCS, DOHNS; Julian Wong, MBBS, FRCS(Vasc); Changez Jadun, MBBS, FRCR


Spontaneous carotid artery dissection is a rare condition with potentially devastating consequences. Internal carotid artery and vertebral artery dissections have been implicated as the cause of 20% of strokes occurring in patients younger than 45 years. We describe a very rare...

Case report: Inadvertent carotid artery injury during myringotomy as a result of carotid artery dehiscence

July 22, 2013  |  Christopher Schutt, MD; Sharmila Dissanaike, MD; John Marchbanks, MD


We report the case of a 3-year-old girl whose internal carotid artery was pierced during a myringotomy. Postoperative computed tomography demonstrated that the complication was caused by a dehiscent carotid canal wall; contralateral dehiscence was also present. The patient had...

Management of head and neck paragangliomas: A series of 9 cases and review of the literature

August 10, 2012  |  Domenico Destito, MD; Sebastiano Bucolo, MD; Alessandra Florio, MD; Carmelo Quattrocchi, MD


We conducted a retrospective study of the long-term functional results of surgery for head and neck paragangliomas. Our study population was made up of 9 patients—4 men and 5 women, aged 22 to 59 years (mean: 46.6; median: 51)—who had undergone surgical...

Carotid pseudoaneurysm of the neck

November 22, 2011  |  Edward C.F. Lam, MS4, Enrique Palacios, MD, FACR, and Harold Neitzschman, MD, FACR, FACNM, FAAP

Unilateral macroglossia as sole presenting manifestation of internal carotid artery dissection

September 21, 2011  |  Joerg-Patrick Stübgen, MD


A patient presented with acute-onset, painless, unilateral enlargement of the tongue. Steroid treatment for angio-edema was ineffective, and a biopsy of an apparent mass of the tongue base showed normal tissue. Subsequent magnetic resonance imaging showed enlargement,...

Vagal Schwannoma

September 21, 2011  |  Regan W.J. Bergmark, BA, David P. Guo, BS, Harrison W. Lin, MD, William C. Faquin, MD, PhD, Geoffrey S. Young, MD, and Keith G. Saxon, MD

A case of a coexisting aberrant internal carotid artery and persistent stapedial artery: The role of MR angiography in the diagnosis

May 1, 2011  |  Hatice Gul Hatipoglu, MD, Mehmet Ali Cetin, MD, Enis Yuksel, MD, and Huseyin Dere, MD


We describe the case of a 37-year-old woman who presented with a complaint of recurrent headaches since childhood. Clinical examination revealed the presence of a reddish-bluish mass in the inferior half of the tympanic membrane in her right ear. Source and three-dimensional...

The use of a covered stent in carotid blowout syndrome

April 1, 2011  |  Brian McGettigan, MD, William Parkes, MD, Carin Gonsalves, MD, David Eschelman, MD, William Keane, MD, and Maurits S. Boon, MD


Rupture of the extracranial carotid arteries or their major branches is known as carotid blowout syndrome (CBS). CBS is a well-recognized complication of cancer of the head and neck and subsequent radiation therapy. A few treatment modalities are available, including open...

Incomplete Horner syndrome: Report of a case and description of the sympathetic nervous system anatomy involved in Horner syndrome

February 1, 2011  |  Grant M. Garbo, MD, Alexander J. Harmatz, MD, and Glenn Isaacson, MD


Horner syndrome, in which ptosis, miosis, and anhidrosis occur concomitantly, can arise from injury to the sympathetic nerve pathways anywhere from the brain to the end organs. Incomplete Horner syndrome lacks the sign of anhidrosis. We present a case of incomplete Horner...


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