Research progress on vascular compression in the neck caused by elongated styloid process
10.3969/j.issn.1002-0152.2025.05.010
- VernacularTitle:茎突过长致颈部血管压迫研究进展
- Author:
Qinji-ang HUANG
1
;
Qi ZHOU
;
Wei HONG
;
Rui LI
Author Information
1. 成都市温江区人民医院神经外科(成都 611130)
- Publication Type:Journal Article
- Keywords:
Elongated styloid process;
Transient ischemic attack;
Carotid dissection;
Cerebral infarction;
Ve-nous stenosis
- From:
Chinese Journal of Nervous and Mental Diseases
2025;51(5):309-313
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of vascular compression in the neck caused by an elongated styloid process is relatively low.However,it is an important and non-negligible factor because this condition can lead to transient ischemic attacks,carotid artery dissection,cerebral infarction,narrowing of the jugular vein,and even increased intracranial pressure.The clinical manifestations are diverse,which can easily lead to missed or misdiagnoses.Moreover,an elongated styloid process may also affect the therapeutic outcome of carotid artery dissection.In patients with carotid artery dissection who lack common high-risk factors,or in cases where conventional examinations cannot explain the causes of impaired Venous drainage,the possibility of an elongated styloid process should be considered.When diagnosing vascular compression in the neck caused by an elongated styloid process,it is important to consider specific head positions and be vigilant to avoid false negatives.A comprehensive assessment should be made using a variety of diagnostic tools,including carotid artery ultrasound,CTA,MRI,and DSA.There is currently no unified consensus on the treatment of vascular compression in the neck caused by an elongated styloid process.In patients with carotid artery dissection that cannot be explained by other causes and where the dissection site is closely related to the styloid process,styloidectomy should be considered.Additionally,it is crucial to guide patients to avoid head positions that may exacerbate the condition during the perioperative period.
