TY - JOUR
T1 - Mastication Steal Syndrome
AU - Maliska, Charles Miles
AU - Blebea, John
AU - Taubman, Kevin E.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - A 56-year-old woman presented with episodic vertigo, dizziness, and diplopia during meals and prolonged verbal presentations at work. Subsequent work-up included an eventual catheter-based angiogram revealing an ostial left external carotid artery (ECA) occlusion with reconstituted retrograde flow via a variant collateral branch from the dominant left vertebral artery. The findings demonstrate that repetitive activities involving craniofacial muscular systems supplied by the ECA result in a symptomatic arterial steal syndrome via the enhanced diverted flow from the collateral vertebral-basilar arterial system. A left ECA endarterectomy with reimplantation of the vessel was performed, and the patient has been episode free thereafter.
AB - A 56-year-old woman presented with episodic vertigo, dizziness, and diplopia during meals and prolonged verbal presentations at work. Subsequent work-up included an eventual catheter-based angiogram revealing an ostial left external carotid artery (ECA) occlusion with reconstituted retrograde flow via a variant collateral branch from the dominant left vertebral artery. The findings demonstrate that repetitive activities involving craniofacial muscular systems supplied by the ECA result in a symptomatic arterial steal syndrome via the enhanced diverted flow from the collateral vertebral-basilar arterial system. A left ECA endarterectomy with reimplantation of the vessel was performed, and the patient has been episode free thereafter.
UR - http://www.scopus.com/inward/record.url?scp=85005939760&partnerID=8YFLogxK
U2 - 10.1016/j.avsg.2016.06.019
DO - 10.1016/j.avsg.2016.06.019
M3 - Article
C2 - 27666798
AN - SCOPUS:85005939760
SN - 0890-5096
VL - 38
SP - 321.e9-321.e11
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
ER -