THE CASE OF UNILATERAL STYLOID SYNDROME IN COMBINATION WITH VERTEBRAL ARTERY HYPOPLASIA
DOI:
https://doi.org/10.11603/1811-2471.2019.v.i4.10806Keywords:
styloid syndrome, vertebral artery hypoplasia, computed tomography, radiography, ultrasound diagnosticsAbstract
The case of association of unilateral left-sided styloid syndrome with vertebral artery hypoplasia is a rare pathology and therefore requires its presentation and discussion.
The aim – to identify the combined rare pathology of styloid syndrome and vertebral artery suture, using radiation techniques.
Material and Methods. One patient, born in 2000, was examined, sought medical care with complaints of an increase in blood pressure up to 180/100 mm Hg. This condition last for 2 years and he didn’t associate with certain reasons. The pain in the left half of the neck was present. There were no injuries, unconsciousness and surgery. The ultrasound examination of the aortic branches, radiography of the cervical spine, and MDCT-angiography of the vessels of the head and neck were assigned.
Results and Discussion. Moderate hemodynamically significant disorders of the blood flow along the left vertebral artery due to compression in the transverse canal at functional tests, an elongated bone structure with clearly differentiated cortical and spongy substance were established.
Conclusions. Clinically suspected cases of styloid syndrome can be detected using conventional radiographs, but a CT scan is needed to clarify the diagnosis. Computed tomography should be performed according to standard protocol with a postprocessing of the obtained slices. In such cases, it is mandatory to study the branches of the aorta to eliminate concomitant vascular pathology.
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