ORIGINAL RESEARCH article
Front. Neurol.
Sec. Stroke
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1573667
Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: A Case--control study
Provisionally accepted
- 1Department of Neurology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China
- 2First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Purpose:To verify the hypothesis that length and inclination angle of the styloid process may lead to cerebral infarction related to carotid artery dissection through comparison of the length and inclination angle of the styloid process in middle-aged and young stroke patients undergoing carotid artery dissection, vertebral artery dissection, and non-dissection controls. Methods:This was a Retrospective, single-center, case-control study that enrolled patients with cerebral infarction related to internal carotid artery dissection, vertebral artery dissection, and non-dissection controls. Eighteen patients with carotid artery dissection patients (cases) were compared with 34 sex-matched patients with vertebral artery dissection (G1)and 55 sex-matched patients without dissection (G2). The length and inclination angle of the styloid process were measured using Computed tomography angiography images. Differences between groups were estimated using the Student's t-test. Results:Styloid process length ipsilateral to the carotid artery dissection was not significantly longer than that of the contralateral side of the cases (p>0.05), or to those of the ipsilateral and contralateral sides in patients with vertebral artery dissection (p>0.05).The styloid process length ipsilateral to the dissection was significantly longer than those of the left and right sides of control patients (p<0.05 for both), while the inclination angle of the cases was significantly larger than those of the ipsilateral and contralateral sides of the vertebral artery dissection patients (p<0.05), and to the left and right sides of control patients (both p<0.05). Conclusion:Long styloid process length and a large inclination angle appear to be risk factors for carotid artery dissection(CAD). Keywords:Styloid process;Carotid artery dissection;Young adult Stroke 1.Introduction Carotid artery dissection (CAD) is a common cause of stroke in young individuals, attributable to both genetic and environmental factors.Environmental factors include neck activities,such as sudden braking,neck massage,yoga,coughing,sneezing, vomiting,and wall brushing.Other related factors include infection, hypertension, hypercholesterolemia,and obesity.Furthermore, styloid process syndrome (SPS) is associated with CAD,and the styloid process (SP) is gradually receiving attention. Most cases of SPS are caused by 删除[石总 [2]]:
Keywords: Styloid process length, styloid process inclination angle, Styloid process syndrome, Carotid dissection, Internal carotid
Received: 09 Feb 2025; Accepted: 26 May 2025.
Copyright: © 2025 SHI, Wang, Luo, FU and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Limei Wang, Department of Neurology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.