New forms of vascular pathology: stylocarotid, hyoid-carotid, thyroid-carotid and stylo-jugular syndromes
https://doi.org/10.17802/2306-1278-2020-9-3-96-107
Abstract
For the first time the possibility of ultrasound diagnostics of stylocarotid, hyoid-carotid, thyroid-carotid and stylo-jugular syndromes is shown in patients with impaired cerebral circulation.
The necessity of reconstruction of bone-cartilage transitional structures with standard MR/CT angiography is justified.
Abnormal structures of the styloid process such as elongation or curvature, the hyoid bone or thyroid cartilage, often in combination with ossification of the stylohyoid or stylomandibular ligaments can cause compression of the internal carotid artery with the formation of dissection, intramural hematoma, stenosis, occlusions and aneurysms. Additionally, symptoms of impaired cerebral circulation start to develop in these patients. Extravasal compression by the styloid process and/or the transverse process of the first cervical vertebra can reduce the blood flow in the internal jugular vein. But only standard vascular imaging is performed in cases of cerebral circulatory disorders, without reconstruction of adjacent bone and cartilage structures. Therefore, there is insufficient data on compression lesions of the neck vessels. Moreover, there is lack of data on ultrasound imaging of vascular Eagle syndrome. The article presents authors` experience of ultrasound diagnostics of this pathology in combination with clinical, angiographic and CT nuances.
About the Authors
M. V. Shumilina
Federal state budgetary institution “A.N. Bakulev National Medical Research Center of Cardiovascular Surgery” of Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
MD, Head of the Ultrasound Cardiovascular and Organ Pathology Group, Professor at the Department of Cardiology and Functional Diagnostics, Institute for High Qualification Medical Staff Training and Professional Education,
8, Leninsky Prospekt, Moscow, 117931
I. N. Shchanitsyn
Federal State Budgetary Educational Institution of Higher Education - Scientific Research Institute of Traumatology Orthopedics and Neurosurgery “Saratov State Medical University n.a. V.I. Razumovsky”
Russian Federation
Russian Federation
PhD, senior researcher, cardiovascular surgeon at the Scientific Research Institute of Traumatology Orthopedics and Neurosurgery,
148, Chernyshevskogo St., Saratov, 410002
D. I. Kolesnik
State government institution “Central Clinical Hospital of the Customs Service of Russian Federation”
Russian Federation
Russian Federation
radiologist, Head of the Computed Tomography Office, Central Clinical Hospital,
32, Otkrytoe Hwy., Moscow, 107143
References
1. Eagle W.W. Elongated styloid processes: report of two cases. Arch. Otolaryngol. 1937; 47: 584-587. DOI: 10.1001/archotol.1937.00650010656008.
2. Eagle W.W. Elongated styloid processes: further observations and a new syndrome. Arch. Otolaryngol. 1948; 47: 630- 40. DOI: 10.1001/archotol.1948.00690030654006.
3. Ryzhkov, A.V., Davydova, L. A., Naumenko V. D. Chiropody syndrome and the main morphological characteristics of the styloid process of the temporal bone that contribute to its occurrence. Molodoj uchenyj (A young scientist). 2016; 19: 174-179. (In Russian)
4. Shumilina M. M., Аlshibaya M. M., Lusparonyan V. M., Dorofeev A.V., Getsadze G. G. Features of instrumental diagnostics of posttraumatic dissection of the internal carotid artery and its spontaneous healing. Clinical physiology of blood circulation. 2018; 15 (4): 267-276. DOI: 10.24022/1814-6910-2018-15-4-267-276. (In Russian)
5. Shchanitsyn I. N., Titova Yu. I., Sazonova N. V., Sumin D. Yu., Ionova T. A., Lukin O. Yu.,. Bazhanov S. P., Larin I. V. Surgical treatment of a patient with atherosclerotic carotid artery lesion on the background of shilopodylingual syndrome. Clinical physiology of blood circulation. 2020; 17 (1): 24-31. DOI: 10.24022/1814-6910-2020-17-1-24-31. (In Russan)
6. Shchanitsyn I. N., Titova Yu. I., Bazhanov S. P., Larin I. V. Vascular complications in shilopodylingual syndrome. Bulletin of the A. N. Bakulev national research center of the Russian Academy of medical Sciences "Cardiovascular diseases". 2020; 21 (3): 229-239. DOI: 10.24022/1810-0694-2020-21-3-229- 239. (In Russian)
7. Patten, B. M. Human Embryology. Moscow: Medgiz; 1959: 276-280. (In Russian)
8. Ermachenko R. B., Vinnichenko E. L., Carpenter R. I. Clinical diagnostic parallels elongation salonesatellite ligaments, eponime manifestations of the syndrome of Eagle. Dental Magazine. 2013; 12(120): 80-84. (In Russian)
9. Lebedyancev had V. V. Anatomic-topographic variants of the styloid processes and their importance for the development of pain in the throat. 11–th scientific–practical conference of otolaryngologists of Orenburg region. Orenburg.1998; 21-22. (In Russian)
10. Keur J. J., Campbell J. P. S., McCarthy J. F., Ralf W. J. The clinical significance of the elongated styloid process. Oral Surg. Oral Med. Oral. Pathol. 1986; 61: 399–404. DOI: 10.1016/0030-4220(86)90426-3.
11. Lebedyancev V.V. Chiropody syndrome (topographicanatomical basis, clinical features, diagnosis, principles of treatment). [dissertation] Moscow; 2004. (In Russian)
12. Eagle W.W. Elongated Styloid Process: Symptoms and Treatment. AMA Arch. Otolaryngol. 1958. Т. 67. № 2. С. 172– 176. DOI: 10.1001/archotol.1958.00730010178007
13. Murtagh R.D., Caracciolo J.T., Fernandez G. CT findings associated with Eagle syndrome. Am. J. Neuroradiol.2001; 22: 1401-1402.
14. Piagkou M., Anagnostopoulou S., Kouladouros K., Piagkos G. Eagle’s syndrome: a review of the literature. Clin. Anat. 2009; 22(5): 545-548. DOI: 10.1002/ca.20804.
15. Kolesnik D. I., Zorina S. V., Statkevich A. R.,Evdokimov A. G., Dasaev N. A., Sedykh Yu.T., Shumilina M. V., Chigogidze N. A. Extracranial aneurysm in the area of pathological tortuosity of the internal carotid artery in combination with shilovidnocarotid syndrome, aneurysm of the anterior connective artery. Bulletin of the A. N. Bakulev national research center of the Russian Academy of medical Sciences "Cardiovascular diseases". 2018; 19(S6): S.125. (In Russian)
16. Todo T., Alexander M., Stokol C., Lyden P., Braunstein G., Gewertz B., et al. Eagle Syndrome Revisited: Cerebrovascular Complications. Ann Vasc Surg. 2012;26(5): 729.e1-5. DOI: 10.1016/j.avsg.2011.12.005.
17. Zuber M., Meder J.F., Mas J.L. Carotid artery dissection due to elongated styloid process. Neurology. 1999; 53: 1886 -1887. DOI: 10.1212/wnl.53.8.1886
18. Cano L.M., Cardona P., Rubio F. Eagle syndrome and carotid dissection. Neurologia. 2010; 25 (4): 266-267. DOI: 10.1016/s2173-5808(10)70050-x.
19. Faivre A., Abdelfettah Z., Rodriguez S., Nicoli F. Bilateral internal carotid artery dissection due to elongated styloid processes and shaking dancing. J. Neurol. Neurosurg. Psychiatry. 2009; 80: 1154-1155. DOI: 10.1136/jnnp.2008.159954.
20. Dao A., Karnezis S., Lane J., Fujitani, R. M., Saremi, F. Eagle syndrome presenting with external carotid artery pseudoaneurysm. Emerg. Radiol. 2011; 18(3): 263-265. DOI: 10.1007/s10140-010-0930-7.
21. Chuang W.C., Short J.H., McKinney A.M., Anker L., Knoll B., McKinney Z.J. Reversible left hemispheric ischemia secondary to carotid compression in Eagle syndrome: surgical and CT angiographic correlation. Am. J. Neuradiol. 2007; 28: 143-145.
22. Tubbs R.S., Loukas M., Dixon J., Cohen-Gadol A.A. Compression of the cervical internal carotid artery by the stylopharyngeus muscle: ananatomical study with potential clinical significance. Laboratory investigation. J. Neurosurg. 2010; 113 (4): 881-884. DOI: 10.3171/2010.1.jns 091407.
23. Raser J.M., Mullen M.T., Kasner S.E., Cucchiara B.L., Messe S. R. Cervical carotid artery dissection is associated with styloid process length. Neurology. 2011; 77: 2061-2066. DOI: 10.1212/wnl.0b013e31823b4729.
24. Kalashnikova LA. Dissection of internal carotid and vertebral arteries: clinical presentation, diagnosis, and treatment. Nevrologiya, nejropsihiatriya, psihosomatika (Neurology, neuropsychiatry, psychosomatics). 2013;(S2):40– 45. DOI: 10.14412/2074-2711-2013-2357. (In Russian)
25. Rao A.S., Makaroun M.S., Marone L.K., Cho J.S., Rhee R., Chaer R.A. Long-term outcomes of internal carotid artery dissection. J. Vasc Surg. 2011; 54:370-5. DOI: 10.1016/j. jvs.2011.02.059.
26. Bendov D. V., Gordeev M. L. Simultaneous carotid endarterectomy and coronary bypass surgery. Bulletin of the A. N. Bakulev national research center of the Russian Academy of medical Sciences "Cardiovascular diseases". 2009;10 (6):188. (In Russian)
27. Bendov D.V., Gordeev M.L. Simultaneous carotid endarterectomy and coronary artery bypass Grafting. Abstracts 60th ESCVS (European Society for Cardiovascular and Endovascular Surgery) Meeting. 2011;12(1) :77.
28. Bendov D., Gordeev M. Risk factors for simultaneous carotid endarterectomy and coronary artery bypass grafting. Heart Apr 2013, 99 (Suppl 1) A36; DOI: 10.1136/ heartjnl-2013-303992.110
29. Korchemsky I. S., Margulis E. A. Chiropody syndrome (diagnostics, clinic, treatment). Dentistry. 1987;2: 68. (In Russian)
30. Kalashnikova LA, Dobrynina LA. Dissektsiya arteriy golovnogo mozga: ishemicheskiy insul't i drugie klinicheskie proyavleniya. Moscow: VAKO; 2013: 208. (In Russian)
31. Sigaev I. Yu., Shumilina M. V., Darvish N. A., Kazarian A. V. a Clinical case of successful emergency combined reconstructive surgery on the internal carotid artery with its acute dissection and coronary bypass surgery. Bulletin of the A. N. Bakulev national research center of the Russian Academy of medical Sciences "Cardiovascular diseases". 2018; 19 (6): 856- 862. DOI: 10.24022/1810-0694-2018-19-6-856-862. (In Russian)
32. Aydin E., Quliyev H., Cinar C., Bozkaya H., Oran I. Eagle syndrome presenting with neurological symptoms. Turk Neurosurg. 2018;28(2):219–25. DOI: 10.5137/1019-5149.JTN.17905-16.6
33. Gupta P., Pandya D., Lazzaro M., Fitzsimmons B.- F. Styloidogenic Jugular Venous Compression Syndrome: Diagnosis and Treatment. Neurology. 2012;78 (S1): P05.261. DOI: 10.1212/WNL.78.1.
34. Gustavo M., Andrade S. Three-Dimensional Identification of Vascular Compression in Eagle’ s Syndrome Using Computed Tomography: Case Report. J Oral Maxillofac Surg. 2008; 66(1):169–76. DOI: 10.1016/j.joms.2006.10.046.
35. Dashti S.R., Hu Y.C, Abla A.A, Fiorella D., Nakaji P., Frei D. Styloidogenic jugular venous compression syndrome: diagnosis and treatment: case report. Neurosurgery. 2012; 70 (3): E795-9. DOI:10.1227/NEU.0b013e3182333859.
36. Zhao X., Hlubek R, J., Mooney M.A., Belykh E., Gandhi S., Moreira L.B, Lei T., Albuquerque F., Preul M.C, Peter Nakaji. Styloidogenic Jugular Venous Compression Syndrome: Clinical Features and Case Series. Oper. Neurosurg. (Hagerstown, Md.). 2019. 12;17(6):554-561. DOI:10.1093/ONS/OPZ012.
37. Li Z., Hua Y., Yang J., Li J. Ultrasound evaluation of transient ischemic attack caused by styloid process elongation: A case report. Front Neurol. 2019; 10:26. DOI: 10.3389/fneur.2019.00026.
38. Semenov S. E. Noninvasive radiation diagnostics of obstructive disorders of cerebral venous circulation. [dissertation] Tomsk; 2003. (In Russ)
39. Ding J.-Y., Zhou D., Pan L.-G, Ya J.-Y., Liu Ch, Yan F., Fan Ch.-Q., Ding Y.-Ch, Ji X.-M., Ran Meng R. Cervical spondylotic internal jugular venous compression syndrome. CNS Neurosci Ther. 2020 Jan;26(1):47-54. DOI: 10.1111/cns.13148.
40. Renard D., Azakri S., Arquizan C., Swinnen B., Labauge P., Thijs V. Styloid and hyoid bone proximity is a risk factor for cervical carotid artery dissection. Stroke. 2013;44(9):2475–9. DOI: 10.1161/STROKEAHA.113.001444.
41. Kawahara I., Ozono K., Fujimoto T., Hirose M. [Internal Carotid Artery Stenosis Associated with Hyoid Bone:Can Hyoid Bone be a Risk Factor for Acute Cerebrovascular Syndrome?]. No Shinkei Geka. 2016;44(10):835–41. DOI: 10.11477/mf.1436203387.
42. Shumilina, M. V. Complex ultrasound diagnostics of peripheral vascular pathology.Moscow: publishing house of the A. N. Bakulev ncssh RAMS; 2007. (In Russian)
43. Radunovic M., Vukcevic B., Radojevic N. Asymmetry of the greater cornua of the hyoid bone and the superior thyroid cornua : a case report. Surg Radiol Anat. 2018;40(8):959-961. DOI: 10.1007/s00276-018-2041-1.
44. Arakelyan V. S., Gidaspov N. A., Shumilina M. V., Kulichkov P. P. Compression of the extracranial part of the internal carotid artery by elements of the hyoid bone and thyroid cartilage in combination with stenosis of atherosclerotic Genesis. Clinical case. Annals Of Surgery. 2019;24(3):202–7. DOI: 10.24022/1560-9502-2019-24-3-201-207. (In Russian)
45. Crilly S.M., McElroy E., Ryan J., O’donohue M., Lawler L.P. «Mixed» trauma to the carotid artery in a mixed martial arts injury - A case report and review of the literature. J Radiol Case Rep. 2018;12(5):1–11. DOI: 10.3941/jrcr.v12i5.3234
46. Kumagai N., Enomoto Y., Miyai M., Egashira Y., Nakayama N., Iwama T. A Rare Case of Symptomatic Carotid Stenosis Caused by Mechanical Stimulation by Thyroid Cartilage and Frequent Swimming. J Stroke Cerebrovasc Dis. 2019;28(3):699–701. DOI:10.1016/j.jstrokecerebrovasdis.2018.11.006
Review
For citations:
Shumilina M.V., Shchanitsyn I.N., Kolesnik D.I. New forms of vascular pathology: stylocarotid, hyoid-carotid, thyroid-carotid and stylo-jugular syndromes. Complex Issues of Cardiovascular Diseases. 2020;9(3):96-107. (In Russ.) https://doi.org/10.17802/2306-1278-2020-9-3-96-107
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