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Spontaneous external carotid artery occlusion

Published online by Cambridge University Press:  29 June 2007

J. A. Dixon
J. A. Dixon*
Affiliation:
Nottingham
*
J. A. Dixon, F.R.C.S., Department of Otolaryngology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH
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Abstract

The case of a 64-year-old man who presented with severe left sided facial pain and cyanosis of the left ear, preauricular region and tongue is described. Digital subtraction angiography confirmed complete occlusion of the left external carotid artery. The patient was anticoagulated and his symptoms resolved over the following month, presumably due to improvement of collateral blood supply to the ischaemic areas. The literature on the clinical manifestations of external carotid ischaemia is reviewed and the relationship between facial pain, internal and external carotid atherosclerosis is emphasised.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 7 , July 1989 , pp. 710 - 712
Copyright
Copyright © JLO (1984) Limited 1989

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References

Brearley, B. F. and MacDonald, J. G. (1961) Temporal arteritis resulting in infected gangrene of the tongue. British Medical Journal, 1: 1152.CrossRefGoogle Scholar
Burnbaum, M. D., Selhorst, J. B., Harbison, J. W. and Brush, J. J. (1977) Amaurosis fugax from disease of the external carotid artery. Archives of Neurology, 34: 532–535.CrossRefGoogle ScholarPubMed
Cooke, E. T. (1980) An evaluation and clinical study of severe epistaxis treated by arterial ligation. Journal of Laryngology and Otology, 99: 745–749.CrossRefGoogle Scholar
Ellis, M. E. and Ralston, S. (1983) The ESR in the diagnosis and management of the polymyalgia rheumatica/giant-cell arteritis syndrome. Annals of the Rheumatic Diseases, 42: 168–170.CrossRefGoogle ScholarPubMed
Herishanu, Y., Bendheim, P. and Dolberg, M. (1974) External carotid occlusive disease as a cause of facial pain. Journal of Neurology, Neurosurgery and Psychiatry, 37: 963–965.CrossRefGoogle ScholarPubMed
Kansu, T., Corbett, J. J., Savino, P. and Schatz, N. J. (1977) Giantcell alteritis with normal sedimentation rate. Archives of Neurology, 34: 624–625.CrossRefGoogle Scholar
Kendall, B. and Moseley, I. (1977) Therapeutic embolisation of the external carotid tree. Journal of Neurology, Neurosurgery and Psychiatry, 40: 937–950.CrossRefGoogle Scholar
Kinmont, P. D. and McCallum, D. I. (1964) Skin manifestations of giant cell arteritis. British Journal of Dermatology, 76: 299–308.CrossRefGoogle ScholarPubMed
Lewis, R. R., Beasley, M. G. and MacLean, K. S. (1978) Occlusion of external carotid artery causing intermittent claudication of the masseter. British Medical Journal, 2: 1611.CrossRefGoogle ScholarPubMed
Martin, M. J., Whisnant, J. P. and Sayre, G. P. (1960) Occlusive vascular disease in the extracranial cerebral circulation. Archives of Neurology, 3: 530–538.CrossRefGoogle ScholarPubMed
Norman, J. E. (1970) Facial pain and vascular disease. Some clinical observations. British Journal of Oral Surgery, 8: 138–144.CrossRefGoogle ScholarPubMed
Venna, N., Goldman, R., Tilak, S. and Sabin, T. B. (1986) Temporal arteritis-like presentation of carotid atherosclerosis. Stroke, 17: 325–327.CrossRefGoogle ScholarPubMed