scholarly journals The eagle jugular syndrome as the cause of delayed intracranial hemorrhage after microvascular decompression for hemifacial spasm: A case report

2021 ◽  
Vol 12 ◽  
pp. 584
Author(s):  
Takahisa Nonaka ◽  
Kiyohiko Sakata ◽  
Toshi Abe ◽  
Gohsuke Hattori ◽  
Kimihiko Orito ◽  
...  
Keyword(s):  
Intracranial Hemorrhage ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Jugular Vein ◽  
Styloid Process ◽  
Neurosurgical Procedures ◽  
Posterior Fossa Surgery ◽  
Emissary Vein ◽  
Cerebrovascular Events ◽  
Eagle Syndrome

Background: Eagle syndrome is a rare disorder whereby an elongated styloid process (ESP) causes not only some otolaryngological symptoms, but also cerebrovascular events caused by compression of the carotid artery. In recent years a syndrome, denominated as Eagle jugular syndrome, involving internal jugular vein (IJV) compression caused by an ESP has been proposed as a variation of Eagle syndrome. Clinical impact of the Eagle jugular syndrome on neurosurgical procedures has not been reported yet. Case Description: We present a case of a 68-year-old woman who underwent microvascular decompression for hemifacial spasm of the left side and developed delayed intracranial hemorrhage on postoperative day 3. We also demonstrate that this patient developed ipsilateral IJV stenosis between an ESP and the muscle bundle of the rectus capitis lateralis with antero-flexion neck position, which would induce venous congestion in addition to surgical disruption of emissary vein. Conclusion: This case is the first report demonstrating the association of an ESP with postoperative delayed intracranial hemorrhage. Our report elucidates the importance of the awareness among neurosurgeons of considering the ESP as an important bony anomaly, especially when planning for posterior fossa surgery.

Eagle Syndrome: an underdiagnosed cause of orofacial pain

2021 ◽  
Vol 14 (1) ◽  
pp. e238161
Author(s):  
João Ferreira de Barros ◽  
Maria Vieira Rodrigues ◽  
Leonor Aurélio Barroso ◽  
Isabel Cruz Amado
Keyword(s):  
Orofacial Pain ◽  
Rare Condition ◽  
Styloid Process ◽  
High Clinical Suspicion ◽  
Body Sensation ◽  
Cervical Approach ◽  
Considerable Length ◽  
Eagle Syndrome

Eagle Syndrome (ES), also termed stylohyoid syndrome or styloid syndrome, is a rare condition characterised by a cluster of symptoms related to an elongation of the styloid process (SP) of the temporal bone. These may range from mild pharyngeal foreign body sensation and dysphagia to severe orofacial pain. High clinical suspicion is necessary owing to the unspecific clinical picture and limited diagnostic clues. Until a definitive diagnosis is achieved, these patients may develop symptoms which significantly impact their quality of life. The aim of this article is to report a case of ES in which a considerable length of SP was documented. Diagnosis was made years after the initial complaints and several medical workups by different specialties. Surgical resection of the elongated process by cervical approach was the adopted treatment modality. Patient recovery and follow-up was satisfactory, with remission of the afflicting symptoms.

Residual hemifacial spasm after microvascular decompression: prognostic factors with emphasis on preoperative psychological state

2015 ◽  
Vol 38 (3) ◽  
pp. 567-572 ◽  
Author(s):  
Yichao Jin ◽  
Changyi Zhao ◽  
Shanshan Su ◽  
Xiaohua Zhang ◽  
Yongming Qiu ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Psychological State

A Retrospective Propensity Score-Matched Early Thromboembolic Event Analysis of Prothrombin Complex Concentrate vs Fresh Frozen Plasma for Warfarin Reversal Prior to Emergency Neurosurgical Procedures

Neurosurgery ◽  
2017 ◽  
Vol 82 (6) ◽  
pp. 877-886 ◽  
Author(s):  
Prateek Agarwal ◽  
Kalil G Abdullah ◽  
Ashwin G Ramayya ◽  
Nikhil R Nayak ◽  
Timothy H Lucas
Keyword(s):  
Propensity Score ◽  
Intracranial Hemorrhage ◽  
Fresh Frozen Plasma ◽  
Neurosurgical Procedures ◽  
Thrombotic Complication ◽  
Propensity Score Matching Analysis ◽  
Therapeutic Anticoagulation ◽  
Fresh Frozen ◽  
Thrombotic Complications ◽  
Frozen Plasma

AbstractBACKGROUNDReversal of therapeutic anticoagulation prior to emergency neurosurgical procedures is required in the setting of intracranial hemorrhage. Multifactor prothrombin complex concentrate (PCC) promises rapid efficacy but may increase the probability of thrombotic complications compared to fresh frozen plasma (FFP).OBJECTIVETo compare the rate of thrombotic complications in patients treated with PCC or FFP to reverse therapeutic anticoagulation prior to emergency neurosurgical procedures in the setting of intracranial hemorrhage at a level I trauma center.METHODSSixty-three consecutive patients on warfarin therapy presenting with intracranial hemorrhage who received anticoagulation reversal prior to emergency neurosurgical procedures were retrospectively identified between 2007 and 2016. They were divided into 2 cohorts based on reversal agent, either PCC (n = 28) or FFP (n = 35). The thrombotic complications rates within 72 h of reversal were compared using the χ2 test. A multivariate propensity score matching analysis was used to limit the threat to interval validity from selection bias arising from differences in demographics, laboratory values, history, and clinical status.RESULTSThrombotic complications were uncommon in this neurosurgical population, occurring in 1.59% (1/63) of treated patients. There was no significant difference in the thrombotic complication rate between groups, 3.57% (1/28; PCC group) vs 0% (0/35; FFP group). Propensity score matching analysis validated this finding after controlling for any selection bias.CONCLUSIONIn this limited sample, thrombotic complication rates were similar between use of PCC and FFP for anticoagulation reversal in the management of intracranial hemorrhage prior to emergency neurosurgical procedures.

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