Document Detail

Recurrent syncope caused by compression of internal carotid artery by an anomalous hyoid bone.
MedLine Citation:
PMID:  22565624     Owner:  NLM     Status:  MEDLINE    
In rare cases a syncope can be caused by compression or irritation of the carotid artery and the carotid sinus due to congenital anatomical anomalies of cervical structures like the hyoid bone. We present the case a of 36 year old man with recurrent syncopes when turning his head. Clinical investigations revealed a hyoid bone anomaly with elongated lesser cornua, especially on the right symptomatic side. Surgical resection of the right lesser cornu led to complete resolution of symptoms over a two year follow-up. Syncope especially in younger subjects may be caused by congenital anomalies of the musculoskeletal system in the cervical region and should be considered in the differential diagnosis of syncope, transient cerebral ischemia and stroke.
Dariusz Janczak; Jan Skora; Artur Rucinski; Andrzej Szuba
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  41     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-08     Completed Date:  2012-06-26     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  221-4     Citation Subset:  IM    
4th Military Hospital in Wroclaw, Poland.
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MeSH Terms
Carotid Artery, Internal* / radiography
Carotid Stenosis / etiology*,  physiopathology,  radiography
Constriction, Pathologic
Head Movements*
Hyoid Bone / abnormalities*,  radiography,  surgery
Syncope / etiology*,  physiopathology,  radiography
Tomography, X-Ray Computed
Treatment Outcome

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