scholarly journals Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department

2020 ◽  
Vol 4 (2) ◽  
pp. 255-258
Author(s):  
Robert Look ◽  
Thomas Terlau ◽  
Ryan Misek
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Carotid Artery ◽  
Trigeminal Neuralgia ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Mortality Case ◽  
Computed Tomography Angiogram ◽  
Long Term Prognosis

Introduction: Carotid artery dissection (CAD) is a critical diagnosis in the emergency department (ED). Trigeminal neuralgia, while not uncommon, may cause the patient significant discomfort but generally is not attributed to severe morbidity and mortality. Case Report: We present a case of spontaneous CAD presenting with the classic intermittent “lightning-like” jaw and head pain suggestive of trigeminal neuralgia that was ultimately diagnosed utilizing computed tomography angiogram after multiple visits to the ED. Discussion: Coincidentally the patient had been started on anticoagulation a few days prior and no additional intervention was required. Conclusion: This case report discusses current recommendations for diagnosis, treatment, and long-term prognosis of CAD.

scholarly journals Eagle syndrome presenting as a neurological emergency: A case report

2021 ◽  
Vol 12 ◽  
pp. 257
Author(s):  
Sokrat Xhaxho ◽  
Gentian Vyshka ◽  
Jera Kruja
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Carotid Artery ◽  
Styloid Process ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Left Internal Carotid Artery ◽  
Brain Infarct ◽  
Eagle Syndrome ◽  
The Brain

Background: Eagle syndrome, due to the elongation of the styloid process as well as the calcification of the stylohyoid ligament, rarely presents itself with a major neurological disorder such as a brain infarct. Case Description: Authors describe the case report of a previously healthy 64-year-old Caucasian male that complained of inability to control his right upper and lower extremity of an acute nature. Imaging at the emergency department (magnetic resonance of the brain and computerized angiography) showed the presence of elongated styloid process bilaterally with clear predomination at the left side. The brain ischemia (left temporal brain infarct) was due to carotid artery dissection, and the left internal carotid artery was not visualized during the contrast-enhanced angiography. The patient was hospitalized at a neurological facility and thereafter referred to surgery for styloidectomy. Conclusion: The present case underscores the need for a prompt diagnosis and an enhanced awareness of this syndrome, especially among emergency department professionals.

scholarly journals Carotid Artery Dissection as a Possible Severe Complication of Pertussis in an Adult: Clinical Case Report and Review

2003 ◽  
Vol 36 (1) ◽  
pp. e1-e4 ◽  
Author(s):  
Danuta M. Skowronski ◽  
Jane A. Buxton ◽  
Morris Hestrin ◽  
Robert D. Keyes ◽  
Kevin Lynch ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Clinical Case ◽  
Carotid Artery Dissection ◽  
Severe Complication ◽  
Artery Dissection

Chronic Horner Syndrome Secondary to Carotid Artery Dissection: Case Report

2017 ◽  
Vol 26 (4) ◽  
pp. 308-312
Author(s):  
Mustafa VATANSEVER ◽  
Serhan KARAKILIÇ ◽  
Mehmet Atila ARGIN ◽  
İbrahim Arda YILMAZ
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Horner Syndrome
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