{"id":"807448bd-8022-48e3-90ff-a29696ea8290","slug":"if-an-elongated-styloid-process-causes-a-dissecting-internal-carotid-artery-aneurysm-surgical-resection-is-indicated","title":"If an elongated styloid process causes a dissecting internal carotid artery aneurysm, surgical resection is indicated","authors":["Josef Finsterer"],"abstract":"Background: The letter discusses a case reported by Izutsu et al. involving a 60-year-old man who developed a dissecting aneurysm of the left extracranial internal carotid artery attributed to an elongated styloid process. The patient experienced acute neck pain, dysphagia, hoarseness, and tongue deviation, ultimately requiring elective stenting after conservative treatment failed. Summary: The authors raise several points regarding the original study, including the need for clarity on the specific symptoms that improved post-stenting, the rationale for not resecting the elongated styloid process, and the lack of diagnostic imaging under provocative conditions. They also question the timeline of symptom onset and the absence of information regarding the patient's medication history. Conclusion: The authors suggest that if a dissecting aneurysm of the extracranial internal carotid artery is indeed due to an elongated styloid process, surgical resection should be considered. Addressing the identified limitations could enhance the study's conclusions and interpretations. Keywords: dissecting aneurysm, internal carotid artery, elongated styloid process, Eagle syndrome, surgical resection, flow diverter stent, cranial nerve palsies","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/placeholders/specialty/neurovascular.png","publishDate":"2024-06-21T00:00:00.000Z","doi":"10.25259/SNI_381_2024","categories":["Neurovascular","Letter to the Editor"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/06/12952/SNI-15-210.pdf"}