复合手术治疗颈动脉茎突综合征一例并文献复习

Hybrid operation for stylocarotid artery syndrome: a case report and literature review

颈动脉茎突综合征是一种罕见的由颞骨茎突压迫颈内动脉或颈外动脉引起的临床综合征。患者因过长茎突压迫右侧颈动脉致右侧颈内动脉重度狭窄而出现左侧肢体无力等临床症状,于复合手术室内行茎突截短术治疗。治疗后颈动脉压迫解除,动脉显影良好,无穿孔、夹层形成,显示在复合手术室内联合介入、医学影像、外科手术治疗颈动脉茎突综合征微创、安全、疗效确切。

Stylocarotid artery syndrome is a rare condition resulted from compression of the internal or external carotid artery by the styloid process of temporal bone.Patient was presented with left limbs weakness,then compression of the right carotid artery by elongated styloid process was found.He was treated by styloid process truncation with hybrid technique.After operation,compression of carotid artery was relieved.No arterial perforation or dissection happened.This case demonstrated that treatment of carotid artery stylocarotid syndrome with hybrid operation that combines endovascular techniques,radiological imaging and surgical resection can be minimally invasive,safe and effective.