Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control study

PurposeTo 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 arte...

Full description

Saved in:
Bibliographic Details
Main Authors: Shuna Shi, Limei Wang, Haiyang Luo, Zhenling Fu, Yutao Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2025.1573667/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849689961754787840
author Shuna Shi
Limei Wang
Haiyang Luo
Zhenling Fu
Yutao Liu
author_facet Shuna Shi
Limei Wang
Haiyang Luo
Zhenling Fu
Yutao Liu
author_sort Shuna Shi
collection DOAJ
description PurposeTo 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.MethodsThis 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.ResultsStyloid 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).ConclusionLong styloid process length and a large inclination angle appear to be risk factors for carotid artery dissection (CAD).
format Article
id doaj-art-d93a1a795de9417cb869b4ef42e6ebe4
institution DOAJ
issn 1664-2295
language English
publishDate 2025-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neurology
spelling doaj-art-d93a1a795de9417cb869b4ef42e6ebe42025-08-20T03:21:27ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-06-011610.3389/fneur.2025.15736671573667Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control studyShuna ShiLimei WangHaiyang LuoZhenling FuYutao LiuPurposeTo 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.MethodsThis 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.ResultsStyloid 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).ConclusionLong styloid process length and a large inclination angle appear to be risk factors for carotid artery dissection (CAD).https://www.frontiersin.org/articles/10.3389/fneur.2025.1573667/fullstyloid process lengthstyloid process inclination anglestyloid process syndromecarotid dissectioninternal carotid
spellingShingle Shuna Shi
Limei Wang
Haiyang Luo
Zhenling Fu
Yutao Liu
Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control study
Frontiers in Neurology
styloid process length
styloid process inclination angle
styloid process syndrome
carotid dissection
internal carotid
title Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control study
title_full Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control study
title_fullStr Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control study
title_full_unstemmed Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control study
title_short Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control study
title_sort anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection a case control study
topic styloid process length
styloid process inclination angle
styloid process syndrome
carotid dissection
internal carotid
url https://www.frontiersin.org/articles/10.3389/fneur.2025.1573667/full
work_keys_str_mv AT shunashi anatomicalcharacteristicsofthestyloidprocessincerebralinfarctionrelatedtocarotidarterydissectionacasecontrolstudy
AT limeiwang anatomicalcharacteristicsofthestyloidprocessincerebralinfarctionrelatedtocarotidarterydissectionacasecontrolstudy
AT haiyangluo anatomicalcharacteristicsofthestyloidprocessincerebralinfarctionrelatedtocarotidarterydissectionacasecontrolstudy
AT zhenlingfu anatomicalcharacteristicsofthestyloidprocessincerebralinfarctionrelatedtocarotidarterydissectionacasecontrolstudy
AT yutaoliu anatomicalcharacteristicsofthestyloidprocessincerebralinfarctionrelatedtocarotidarterydissectionacasecontrolstudy