Jaw Claudication as a Result of Carotid Artery Disease

Janssens, M.; Thielen, Th H J Van; Veer, Hans Van

doi:10.1080/00015458.2008.11680257

Cited by 3 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…But the symptoms might get worse unless the contralateral ECA is normal or treated. 8,12,13 In 1980, Argentino et al reported two cases of jaw claudication. In one case, intermittent jaw claudication was successfully treated with revascularization, indicating that the pain was originally due to ischemia.…”

Section: Discussionmentioning

confidence: 97%

“…9 Additional case reports since then have also documented jaw claudication secondary to severe atherosclerotic disease of ECAs that were successfully treated with revascularization of the ECA stenosis. 7-9, 13 Janssens et al reported a case of bilateral jaw claudication in an 87-year-old patient with bilateral ECA disease that resolved after a unilateral endarterectomy. 13 Schiller et al reported resolution of bilateral jaw claudication after staged bilateral ECA percutaneous transluminal angioplasty (PTA).…”

Section: Discussionmentioning

confidence: 98%

“…7-9, 13 Janssens et al reported a case of bilateral jaw claudication in an 87-year-old patient with bilateral ECA disease that resolved after a unilateral endarterectomy. 13 Schiller et al reported resolution of bilateral jaw claudication after staged bilateral ECA percutaneous transluminal angioplasty (PTA). Symptoms recurred after the first and second PTA, resulting in right carotid endarterectomy and resolution of bilateral symptoms 8 up to a 3-year follow-up.…”

Section: Discussionmentioning

confidence: 98%

See 2 more Smart Citations

Jaw claudication in the era of carotid stenting

Chen

Kougias

Lin

et al. 2011

Journal of Vascular Surgery

View full text Add to dashboard Cite

Jaw claudication could result from external carotid artery (ECA) occlusive disease. Carotid artery stenting (CAS) has been shown to worsen the disease in the ECA. This could potentially worsen the symptoms in patients with pre-existing jaw claudication undergoing CAS. Meanwhile, ECA endarterectomy is routinely done during internal carotid artery endarterectomy (CEA). This has been shown to alleviate jaw claudication symptoms. We report a case of a high-risk patient for CEA who presented with symptomatic carotid disease as well as bilateral jaw claudication. Both symptoms resolved after CEA. We also present the case of another patient treated for recurrent high-grade carotid disease with CAS resulting in acute ECA occlusion and jaw claudication. High-risk patients with symptomatic carotid disease and jaw claudication should be considered for CEA and not only CAS.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Jaw claudication in the era of carotid stenting

Chen

Kougias

Lin

et al. 2011

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…Schiller et al [ 11 ] reported that staged bilateral PTA was effective in ECA-confined bilateral stenosis with jaw claudication. In contrast, Janssens et al [ 10 ] reported that the unilateral CEA ameliorated bilateral jaw claudication with bilateral ECA stenosis and suggested that even unilateral intervention could relieve bilateral ischemia. Thus, some cases require interventional treatment, but the algorithm of surgical management is still debatable.…”

Section: Discussionmentioning

confidence: 99%

Jaw Claudication Caused by Atherothrombotic External Carotid Artery Occlusion: A Case Report

Kohara,

Kawamata

2023

Cureus

View full text Add to dashboard Cite

Jaw claudication is a common symptom of giant cell arteritis (GCA), although atherothrombotic external carotid artery (ECA) occlusion is also known to cause jaw claudication. The patient was a 75-year-old male who experienced severe right jaw pain while chewing solid food. Magnetic resonance (MR) angiography showed right ECA occlusion. Based on laboratory tests and contrast-enhanced computed tomography (CT) angiography, atherothrombosis, not GCA, was suspected to be the cause of jaw claudication. Following conservative therapy with cilostazol, the pain was gradually alleviated in two months, and subsequent MR angiography after four months showed blood flow in the stenosed right ECA. The symptom completely disappeared in six months. Based on a previous report, we expected that jaw claudication will be ameliorated due to the development of collateral supply; however, spontaneous ECA recanalization caused improvement of symptoms in this case.

show abstract

“…Superficial temporal and maxillary arteries arise from ECA and stenosis of these vessels due to any cause such as GCA, atherosclerosis, thromboembolism result in ischemia of facial and masticatory muscles leading to headache, jaw pain, or claudication [9]. Our patient was thought to have these symptoms due to carotid atherosclerosis.…”

Section: Discussionmentioning

confidence: 99%

Case report: giant cell arteritis in a patient with carotid atherosclerosis – a diagnostic dilemma

Fayyaz

2018

Journal of Community Hospital Internal Medicine Perspectives

View full text Add to dashboard Cite

Carotid atherosclerosis and giant cell arteritis (GCA) are two distinct medical conditions with an overlapping clinical spectrum of vascular symptoms such as vision loss and ischemic stroke. This is because both diseases cause arterial ischemia with a predilection for carotid vasculature. In addition, high-vascular risk individuals who are diagnosed with GCA are usually elderly with age >55 years with high-vascular risk and thus can have underlying atherosclerosis. All these factors can pose a diagnostic dilemma for the physicians as GCA is a medical emergency which if left untreated can result in significant morbidity and mortality. Thus, it is important to avoid attributing occlusive arterial disease in elderly patients to atherosclerosis alone because some may have GCA. We present a case report in which presence of diffuse atherosclerosis was a major pitfall while making a timely diagnosis of GCA.

show abstract

Jaw Claudication as a Result of Carotid Artery Disease

Abstract: Bilateral jaw claudication as a symptom of carotid atherosclerosis is a rare condition. It can be treated by unilateral carotid endarterectomy.

Cited by 3 publications

References 6 publications

Jaw claudication in the era of carotid stenting

Jaw claudication in the era of carotid stenting

Jaw Claudication Caused by Atherothrombotic External Carotid Artery Occlusion: A Case Report

Case report: giant cell arteritis in a patient with carotid atherosclerosis – a diagnostic dilemma

Contact Info

Product

Resources

About