Janssens M A P, Van Thielen Th H J, Van Veer H G L
Department of Vascular Surgery, ZNA-Jan Palfijn, Antwerp, Belgium.
Acta Chir Belg. 2008 Jul-Aug;108(4):438-40. doi: 10.1080/00015458.2008.11680257.
Jaw claudication is mostly described as a symptom of giant cell arteritis. However it can also occur in presence of severe bilateral external carotid artery stenosis.
An 87-year-old man with extensive cardiovascular history presented with disabling bilateral jaw claudication. Duplex Scan and MR-Angiography showed severe bilateral ostial external carotid artery stenosis. After unilateral carotid endarterectomy, the symptoms disappeared.
Bilateral jaw claudication as a symptom of carotid atherosclerosis is a rare condition. It can be treated by unilateral carotid endarterectomy.