{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:40Z","timestamp":1787017060966,"version":"build-2736575974"},"reference-count":8,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T00:00:00Z","timestamp":1723766400000},"content-version":"unspecified","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,7,14]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>Hyoid bone-related carotid injury is a rare cause of neurovascular events. This report describes a case of a young, healthy male presenting with neck pain followed by left-sided hemiparesis. The patient was diagnosed with a transient ischaemic attack attributed to structural damage of the vascular surface of the right internal carotid artery as a direct result of continuous compression by an elongated hyoid bone. We describe a successful diagnosis using a series of manoeuvres during a six-vessel cerebral angiogram. Genetic testing later confirmed the diagnosis of vascular Ehlers-Danlos syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2024-260764","type":"journal-article","created":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T04:20:24Z","timestamp":1723868424000},"page":"e260764","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Internal carotid artery dissection associated with an elongated hyoid bone in a patient with vascular Ehlers-Danlos syndrome"],"prefix":"10.1136","volume":"17","author":[{"given":"Cosme Miguel","family":"Gonz\u00e1lez Villaman","sequence":"first","affiliation":[{"name":"Neurosurgery, Cl\u00ednica Corominas, Santiago, Santiago de los Caballeros, Dominican Republic"},{"name":"Endovascular Neurosurgery, Corazones del Cibao, Santiago, Santiago de los Caballeros, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raynorah","family":"Dom\u00ednguez Qui\u00f1\u00f3nez","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica Madre y Maestra, Santiago de los Caballeros, Santiago de los Caballeros, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5591-9500","authenticated-orcid":false,"given":"Lyanne","family":"Castillo Espinal","sequence":"additional","affiliation":[{"name":"Research Projects Department, ProInv, Santiago De Los Caballeros, Dominican Republic"},{"name":"Medicine, Pontificia Universidad Catolica Madre y Maestra Facultad de Ciencias de la Salud, Santiago, Santiago de los Caballeros, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,8,16]]},"reference":[{"key":"2025082707523741000_17.8.e260764.1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.113.001444"},{"key":"2025082707523741000_17.8.e260764.2","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.avsg.2018.09.001","article-title":"Carotid Artery Entrapment by the Hyoid Bone-A Rare Cause of Recurrent Strokes in A Young Patient","volume":"57","author":"Plotkin","year":"2019","journal-title":"Ann Vasc Surg"},{"key":"2025082707523741000_17.8.e260764.3","doi-asserted-by":"crossref","DOI":"10.4322\/acr.2018.010","article-title":"Traumatic injury to the internal carotid artery by the hyoid bone: a rare cause of ischemic stroke","volume":"8","author":"de Campos","year":"2018","journal-title":"Autops Case Rep"},{"key":"2025082707523741000_17.8.e260764.4","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2021.653471","article-title":"Hyoid Elongation May Be A Rare Cause of Recurrent Ischemic Stroke in Youth-A Case Report and Literature Review","volume":"12","author":"Liu","year":"2021","journal-title":"Front Neurol"},{"key":"2025082707523741000_17.8.e260764.5","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.jvscit.2020.01.001","article-title":"Hyoid bone impingement contributing to symptomatic atherosclerosis of the carotid bifurcation","volume":"6","author":"Liu","year":"2020","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"2025082707523741000_17.8.e260764.6","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCGEN.122.003864","article-title":"Features of Vascular Ehlers-Danlos Syndrome Among Biobank Participants Harboring Predicted High-Risk COL3A1 Genotypes","volume":"16","author":"Lui","year":"2023","journal-title":"Circ Genom Precis Med"},{"key":"2025082707523741000_17.8.e260764.7","doi-asserted-by":"crossref","first-page":"6226","DOI":"10.1016\/S0021-9258(18)68776-9","article-title":"Ehlers-Danlos syndrome type IV: a multi-exon deletion in one of the two COL3A1 alleles affecting structure, stability, and processing of type III procollagen","volume":"263","author":"Superti-Furga","year":"1988","journal-title":"J Biol Chem"},{"key":"2025082707523741000_17.8.e260764.8","doi-asserted-by":"publisher","DOI":"10.1097\/GIM.0b013e3182180c89"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260764","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:52:42Z","timestamp":1756306362000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260764"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":8,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,8,16]]},"published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1136\/bcr-2024-260764"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260764","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]}}}