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8 záznamů v PubMed Filtry

Článek

Styloid process-related internal carotid artery dissection: extensive literature review of diagnosis, treatment and outcomes (exemplified with a single-center case series)

Klail, Tomas
Autor Klail, Tomas ORCID University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland. tomas.klail@team-radiologie.ch Faculty of Medicine, Masaryk University, Brno, Czech Republic. tomas.klail@team-radiologie.ch Institute of Radiology, Cantonal Hospital Münsterlingen, Münsterlingen, Switzerland. tomas.klail@team-radiologie.ch
Sachs, Ludwig
Autor Sachs, Ludwig Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
Panos, Leonidas D
Autor Panos, Leonidas D Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland Department of Neurology, Medical School, University of Cyprus, Nicosia, Cyprus
Urban, Oliver Y
Autor Urban, Oliver Y Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Siller, Teresa
Autor Siller, Teresa Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Pilgram-Pastor, Sara
Autor Pilgram-Pastor, Sara University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
Giger, Roland
Autor Giger, Roland Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
Müller, Martin
Autor Müller, Martin Department of Emergency Medicine, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
Wagner, Franca
Autor Wagner, Franca University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland

Neuroradiology. 2025 Jun ; 67 (6) : 1355-1364. [epub] 20250426

ISSN 1432-1920 | 0028-3940
Zdroj

PURPOSE: Internal carotid artery dissection (ICA-D) frequently leads to ischemic stroke in individuals under 50 years. There is mounting evidence on the role of the styloid process (SP) in ICA-D, particularly SP length and the SP-ICA distance. Despite having clear guidelines on the treatment of SP-related Eagle syndrome and ICA-D, the concept of SP-related ICA-D is relatively new and no therapeutic guidelines exist. METHODS: A narrative literature search was performed to identify all articles pertaining to the diagnosis and treatment of ICA-D linked to an ipsilateral elongated SP or short SP-ICA distance. The treatments were evaluated in terms of symptom recurrence after the treatment. As illustrative examples of clinical management, we present an in-house case series of patients with suspected ICA-D related to SP. RESULTS: Treatment efficacy was assessed, with an in-house case series provided. Seventy-five reports and case studies involving 84 patients were analyzed. Conservative treatments were common (52%) but had a high symptom recurrence rate (33%). It is noteworthy that no patients treated initially with styloidectomy exhibited symptom recurrence. CONCLUSION: In case of a correctly diagnosed SP-related ICA-D, a styloidectomy may offer a curative option, but more research is needed for clear indications and standardized guidelines to prevent recurrent symptoms or strokes.

Klíčová slova
Dissection, Internal carotid artery, Stroke, Styloid process,
MeSH
disekce arteria carotis interna * diagnostické zobrazování terapie chirurgie MeSH
heterotopická osifikace * diagnostické zobrazování komplikace MeSH
lidé středního věku MeSH
lidé MeSH
spánková kost * abnormality chirurgie diagnostické zobrazování MeSH
výsledek terapie MeSH
Check Tag
lidé středního věku MeSH
lidé MeSH
mužské pohlaví MeSH
ženské pohlaví MeSH
Publikační typ
časopisecké články MeSH
přehledy MeSH

Článek

Diagnosis and treatment of Eagle's syndrome and possible complications

Acta chirurgiae plasticae. 2023 ; 65 (3-4) : 98-105.

Acta Chir Plast
ISSN 0001-5423
Zdroj

BACKGROUND: Eagle's syndrome (ES) is a term describing a group of symptoms associated with the elongation of the styloid process (SP) of the temporal bone or with ossification of the stylohyoid ligament. Clinically, it manifests through pain in the orofacial and pharyngeal regions, similar to that experienced by patients with temporomandibular joint disease. The presented paper aims to assess the evaluation of the success of surgical treatment and the complications associated with such treatment. METHODS: Our retrospective study includes nine patients with ES treated in our Department Oral and Maxillofacial Surgery in years 2019-2023 (median age of 47 years) - all patients affected with this disease out of 2,716 patients examined at our department due to a temporomandibular joint disease. Eight of these patients underwent a surgical resection of the SP. The success and complications in these patients are evaluated in this study. RESULTS: In seven patients, the problems disappeared or at least diminished, which is consistent with data from the literature. Postoperative complications such as deficit of the marginal branch of the facial nerve (n. VII), limited sticking the tongue out (n. XII), and velopharyngeal insufficiency (n. IX) occurred in three patients. CONCLUSION: The wide spectrum of clinical manifestations makes ES a condition that should be considered in the differential diagnosis of temporomandibular joint disorders, post-traumatic conditions, or complicated eruption of wisdom teeth or their extraction. ES can be treated conservatively or (mostly) surgically. Surgical treatment can be relatively successful and effective, but it is necessary to respect the anatomical placement of the SP, which can be associated with the development of complications, especially in cases with extremely long SP.

Klíčová slova
Eagle’s syndrome, facial pain, surgical treatment,
MeSH
heterotopická osifikace * MeSH
lidé středního věku MeSH
lidé MeSH
nemoci temporomandibulárního kloubu * komplikace MeSH
obličejová bolest * diagnóza etiologie MeSH
retrospektivní studie MeSH
spánková kost chirurgie abnormality MeSH
Check Tag
lidé středního věku MeSH
lidé MeSH
Publikační typ
časopisecké články MeSH

Článek

Temporal bone findings in trisomy 18 and 21 syndromes

European archives of oto-rhino-laryngology. 1997 ; 254 (1) : 15-8.

Eur Arch Otorhinolaryngol
ISSN 0937-4477
Zdroj

The temporal bones from fetuses with known autosomal trisomy syndromes were examined histopathologically after spontaneous or induced abortions. Fetal ages dated from the 17th to the 24th week of pregnancy. In all, 17 temporal bones from nine fetuses were studied and included seven cases of Down's syndrome and two of Edwards' syndrome. Temporal bones from fetuses with Down's syndrome had more abnormalities of the external and middle ears than of the inner ear. The bones from the fetuses with Edwards' syndrome showed abnormalities of the external or middle ear and retarded development of the inner ear (failed ossification of the otic capsule and unformed organ of Corti).