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

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 Intracerebral steal phenomenon induced focal reversible vasogenic edema and decrease in cerebral blood flow after carotid endarterectomy

2020 ◽  
Vol 11 ◽  
pp. 161
Author(s):  
Yu Shimizu ◽  
Katsuhiro Tsuchiya ◽  
Norihiro Fujisawa
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Carotid Endarterectomy ◽  
Brain Edema ◽  
Vasogenic Edema ◽  
Rare Complication ◽  
Cerebral Hypoperfusion ◽  
Radical Scavenger ◽  
Steal Phenomenon ◽  
Bilateral Carotid

Background: Intracerebral steal phenomenon (ISP) is a rare complication following surgical treatment of carotid stenosis. However, the factors responsible remain unknown. We described the rear case of the ISP who had vasogenic edema and cerebral blood flow (CBF) decline and presented with hemiparesis after carotid endarterectomy (CEA). Case Description: A 72-year-old male with stenosis of the bilateral carotid artery (NASCET right 90% and left 70%) presented with cerebral hypoperfusion manifesting as right hemiparesis, after left CEA. Fluid-attenuated inversion recovery images showed edema of the motor area around an old infarction and a decrease in CBF. This lesion was an area of vasogenic edema caused by ISP and focal cerebral hypoperfusion. CBF of the contralateral cerebral hemispheres had increased. The treatment with an intravenous infusion of a free radical scavenger and glycerol improved the patient’s symptoms and brain edema. Magnetic resonance imaging showed a gradual decline in the brain edema, which completely disappeared 2 weeks after CEA. He was discharged with no neurological deficit. Conclusion: In this report, we described the case of a patient with ISP who had vasogenic edema induced by CBF decline and presented with hemiparesis following CEA. This is the first report of progressing focal vasogenic edema caused by ISP after endarterectomy.

scholarly journals Inappropriate Secretion of Antidiuretic Hormone: A Rare Complication after Carotid Endarterectomy

2006 ◽  
Vol 32 (5) ◽  
pp. 568-569 ◽  
Author(s):  
J. Cordobès-Gual ◽  
P. Lozano-Vilardell ◽  
N. Torrreguitart-Mirada ◽  
E. M-Rimbau
Keyword(s):  
Carotid Endarterectomy ◽  
Antidiuretic Hormone ◽  
Rare Complication ◽  
Inappropriate Secretion

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

Diagnosing Pseudoaneurysm of the Extracranial Carotid Arteries Using Doppler Ultrasonography: A Case Report

2018 ◽  
Vol 42 (3) ◽  
pp. 123-126 ◽  
Author(s):  
Katie Evans ◽  
Gurpreet K. Birk ◽  
George A. Antoniou
Keyword(s):  
Carotid Endarterectomy ◽  
Carotid Arteries ◽  
Doppler Ultrasonography ◽  
Rare Complication ◽  
Neck Swelling ◽  
Doppler Ultrasound Imaging ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Ischemic Attack

Carotid artery pseudoaneurysms are a rare complication of carotid endarterectomy, with few recorded in the literature. We describe a case of a 56-year-old man who presented with symptoms of left hemispheric transient ischemic attack and subsequently underwent a carotid endarterectomy. The patient returned to Accident and Emergency department with an ipsilateral neck swelling found to be an extracranial pseudoaneurysm. Doppler ultrasound imaging was used throughout the management of this patient from preendarterectomy to postpseudoaneurysm bypass. This report discusses the importance of ultrasonography in the diagnosis and follow-up of carotid pseudoaneurysms.

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