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Cerebral infarction caused by coexisting elongated styloid process and carotid web

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机构： [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [2]International Neuroscience Institute (China-INI), Beijing, China [3]Department of Interventional Neuroradiology, Xuanwu Hospital, Capital Medical University, Beijing, China.

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关键词： Cerebral infarction Elongated styloid process Carotid web Ischemic stroke mechanism

摘要：

Elongated styloid process (ESP) and carotid web are rare etiologies of ischemic stroke. We report a rare case of ESP concomitant with carotid web as the cause of recurrent stroke.A 59-year-old man was admitted to our hospital with recurrent numbness and weakness in the right upper extremity. The patient had a long-standing history of lightheadedness and left-side amaurosis with neck flexion. Magnetic resonance imaging (MRI) confirmed scattered infarctions in the left frontal and parietal lobes. After multi-modal imaging we determined that embolic cerebral infarction was most likely to be secondary to the carotid web. Moreover, ESP causes dynamic hypoperfusion during neck flexion. We believe that this is a good reason for dealing with both pathologies during the same surgery. Thus, carotid endarterectomy and styloid process resection were performed at the same time. The previous symptoms during the head position change did not recur, and the right hand weakness was resolved.ESP and carotid web are unusual mechanisms of ischemic stroke. Early diagnosis and timely treatment are essential to prevent subsequent severe strokes.Copyright © 2023. Published by Elsevier Inc.

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出版当年[2022]版：

大类 | 4 区医学

小类 | 4 区外周血管病 4 区神经科学

最新[2023]版：

大类 | 4 区医学

小类 | 4 区神经科学 4 区外周血管病

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出版当年[2021]版：

Q3 PERIPHERAL VASCULAR DISEASE Q4 NEUROSCIENCES

最新[2023]版：

Q3 NEUROSCIENCES Q3 PERIPHERAL VASCULAR DISEASE

影响因子： 2 最新[2023版] 2.1 最新五年平均 2.677 出版当年[2021版] 2.505 出版当年五年平均 2.136 出版前一年[2020版] 2.5 出版后一年[2022版]

第一作者：

第一作者机构： [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [2]International Neuroscience Institute (China-INI), Beijing, China

通讯作者：

通讯机构： [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [2]International Neuroscience Institute (China-INI), Beijing, China [3]Department of Interventional Neuroradiology, Xuanwu Hospital, Capital Medical University, Beijing, China. [*1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing 100053, China

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