Liu Shirley, Nezami Nariman, Dardik Alan, Nassiri Naiem
Division of Vascular and Endovascular Surgery, Department of Surgery, Yale University, New Haven, Conn.
Section of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale University, New Haven, Conn.
J Vasc Surg Cases Innov Tech. 2020 Feb 20;6(1):89-92. doi: 10.1016/j.jvscit.2020.01.001. eCollection 2020 Mar.
Symptomatic carotid artery disease caused by hyoid bone compression is rare, although scant reports describe cerebrovascular events due to this mechanical interference leading to entrapment, embolism, dissection, atherosclerotic stenosis, and pseudoaneurysm formation. This report describes a patient presenting with left-sided paresis and paresthesia who was found to have focal right carotid stenosis secondary to impingement of the carotid bulb by an elongated hyoid bone. Whereas previous cases describe hyoid bone resection, we describe successful management with endarterectomy and carotid mobilization without hyoid resection, with long-term follow-up demonstrating a widely patent carotid system without recurrent impingement.
由舌骨压迫引起的有症状颈动脉疾病很少见，尽管有少量报告描述了由于这种机械干扰导致的脑血管事件，包括卡压、栓塞、夹层、动脉粥样硬化狭窄和假性动脉瘤形成。本报告描述了一名出现左侧轻瘫和感觉异常的患者，该患者被发现因细长舌骨对颈动脉球的压迫继发右侧局灶性颈动脉狭窄。既往病例描述的是舌骨切除术，而我们描述的是在未切除舌骨的情况下通过内膜切除术和颈动脉松动术成功治疗，长期随访显示颈动脉系统广泛通畅且无复发性压迫。
