■这项工作旨在回顾当前文献和我们关于血管鹰综合征(ES)的经验,这些文献可以呈现误导性的临床表现并更好地了解可能的治疗策略。
■我们回顾了从2017年1月1日至2022年12月31日在PubMed上的现有文献,包括顺序关键词“血管和鹰综合征”,血管和茎突综合征,血管和细长茎突,血管和血管颈综合征,“和”鹰综合征和颈动脉夹层。\"
■38例血管性ES,包括我们的经验,进行了分析。最常见的临床发作是偏瘫(n21,57%),但其他常规临床表现是失语症,失去意识,黑蒙,头痛,或后者的组合。在我们的病例之前,文献中仅报道了一次大量口腔出血。12例患者仅接受抗血小板治疗,无论是单人还是双人。9例患者仅接受抗凝治疗。在14名患者中,使用颈动脉支架,与抗凝或抗血小板治疗相关。在17个案例中,进行茎突(SP)切除术.
■ES有许多临床表现,颈动脉夹层导致的口腔出血似乎很少见。文献结果和我们的经验使我们相信,在处理血管ES时,最佳治疗策略是颈内动脉血管内支架置入术联合抗血小板治疗,然后手术切除细长的SP以防止支架骨折。
UNASSIGNED: This work aims to review the current literature and our experience on vascular Eagle syndrome (ES) that can present misleading clinical presentations and better understand the possible therapeutic strategies.
UNASSIGNED: We reviewed the existing literature on PubMed from January 1, 2017, to December 31, 2022, including the sequential keywords \"vascular AND Eagle syndrome,\" \"vascular AND styloid syndrome,\" \"vascular AND elongated styloid process,\" \"vascular AND stylocarotid syndrome,\" and \"Eagle syndrome AND carotid artery dissection.\"
UNASSIGNED: 38 vascular ES cases, including our experience, were analyzed. The most frequent clinical onset was hemiparesis (n 21, 57%), but other regular clinical presentations were aphasia, loss of consciousness, amaurosis, headache, or a combination of the latter. Massive oral bleeding was reported only once in the literature before our case. Twelve patients were treated with only antiplatelet therapy, either single or double. Nine patients were treated with anticoagulation therapy only. In 14 patients, a carotid artery stent was used, associated with anticoagulation or antiplatelet therapy. In 17 cases, a styloid process (SP) resection was performed.
UNASSIGNED: ES has many clinical presentations, and carotid artery dissection resulting in oral bleeding seems rare. Literature results and our experience make us believe that when dealing with vascular ES, the best treatment strategy is endovascular internal carotid artery stenting with antiplatelet therapy, followed by surgical removal of the elongated SP to prevent stent fracture.