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Abstract：
Carotid artery dissection is a significant etiology of juvenile stroke. Blunt trauma from an elongated styloid process can rarely cause carotid artery dissection, which is one of well-known clinical presentations of Eagle\'s syndrome as known as stylocarotid syndrome. Growing number of publications contributed improved awareness and diagnostic modalities for this clinical entity, thus the carotid artery dissection from an elongated styloid process is often diagnosed appropriately. The management of carotid artery dissection in stylocarotid syndrome tends to be nonconservative (ie, removal of the process or carotid stenting) presumably due to a publication bias prone to surgical intervention. However, the compression of elongated styloid process to carotid artery is usually difficult or even dangerous to directly prove. Furthermore, stent fracture with subsequent stent and carotid artery occlusion has been reported as a complication of the treatment. Here, we report a male presenting with acute embolic stroke due to carotid artery dissection with the ipsilateral elongated styloid process who has been managed conservatively for more than 1.5 years without any sequelae. We will discuss the management strategy and emphasize the importance of patient education of daily life, since the surgical intervention seems not always necessary in this clinical setting.
摘要：
颈动脉夹层是青少年中风的重要病因。细长茎突的钝性创伤很少会导致颈动脉夹层，这是众所周知的一种老鹰综合征的临床表现，也就是所谓的颈动脉综合征。越来越多的出版物提高了对该临床实体的认识和诊断方式，因此，从细长茎突的颈动脉夹层通常是适当的诊断。颈动脉夹层的治疗倾向于非保守性（即，去除该过程或颈动脉支架置入术）可能是由于易于进行手术干预的出版偏见。然而,狭窄的茎突对颈动脉的压迫通常很难直接证明，甚至是危险的。此外，据报道，支架骨折伴随后的支架和颈动脉闭塞是治疗的并发症。这里,我们报道了1例男性因颈动脉夹层伴同侧茎突伸长而出现急性栓塞性卒中,经保守治疗1.5年以上,无任何后遗症.我们将讨论管理策略，并强调患者日常生活教育的重要性，因为在这种临床环境中，手术干预似乎并不总是必要的。
