Multiple Cranial Neuropathies and First Bite Syndrome after Carotid Endarterectomy

2011 ◽  
Vol 121 (S4) ◽  
pp. S74-S74
Author(s):  
Sanaz Harirchian ◽  
Brian Benson
Keyword(s):  
Carotid Endarterectomy ◽  
Cranial Neuropathies ◽  
First Bite Syndrome

First Bite Syndrome: Presentation of a Patient Status-Post Right Carotid Endarterectomy

2020 ◽  
Vol 55 (1) ◽  
pp. 64-68
Author(s):  
Håkan Charles-Harris ◽  
Betsy Rodriguez
Keyword(s):  
Carotid Endarterectomy ◽  
Head And Neck ◽  
Parapharyngeal Space ◽  
Definitive Treatment ◽  
Patient Status ◽  
Raising Awareness ◽  
Cervical Ganglion ◽  
Iatrogenic Damage ◽  
Botulinum Toxin Injections ◽  
First Bite Syndrome

First bite syndrome (FBS) is a sharp unilateral pain in the vicinity of the angle of the mandible after taking the first bite of a meal that presents typically after surgery in the area of the ipsilateral parapharyngeal space. It is not confirmed what the pathophysiology is that causes this pain, but the proposed mechanism is the iatrogenic damage of sympathetic fibers that extend from the superior cervical ganglion (SCG) to innervate the parotid gland. The presentation of this syndrome has been acknowledged in patients who have undergone head and neck tumor resections, but it has not been documented in the same thorough manner among vascular surgery cases in the parapharyngeal space, possibly because of a higher risk of development in other head and neck surgeries, or to under-reporting of cases. To date, only 5 cases of FBS status post carotid endarterectomy have been documented in the literature. Definitive treatment of FBS has not been established. Some studies have shown improvement with amitriptyline, and carbamazepine as well as botulinum toxin injections. We will present the case of a 75 year old male who developed first bite syndrome after a right carotid endarterectomy with efforts of raising awareness of a potential acute complication of carotid endarterectomy.

First Bite Syndrome Following Carotid Endarterectomy

2020 ◽  
Vol 29 (12) ◽  
pp. 105364
Author(s):  
Eri Shiozaki ◽  
Tsuyoshi Izumo ◽  
Yoichi Morofuji ◽  
Nobutaka Horie ◽  
Takeo Anda ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
First Bite Syndrome

scholarly journals First-Bite Syndrome: A Rare Complication of Carotid Endarterectomy

Cureus ◽  
2021 ◽  
Author(s):  
Andras Bikk ◽  
Sohrab Sohrabi ◽  
Prashanth Navaran ◽  
Cameron Farsar
Keyword(s):  
Carotid Endarterectomy ◽  
Rare Complication ◽  
First Bite Syndrome

scholarly journals First bite syndrome: a complication of carotid endarterectomy

2016 ◽  
pp. bcr2015213996 ◽  
Author(s):  
Mary Jiayi Tao ◽  
Graham Roche-Nagle
Keyword(s):  
Carotid Endarterectomy ◽  
First Bite Syndrome

First Bite Syndrome Following Ipsilateral Carotid Endarterectomy

2012 ◽  
Vol 47 (2) ◽  
pp. 148-150 ◽  
Author(s):  
Tom Kai Ming Wang ◽  
Venu Bhamidipaty ◽  
Murray MacCormick
Keyword(s):  
Carotid Endarterectomy ◽  
First Bite Syndrome
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