{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T04:02:24Z","timestamp":1648612944372},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Carotid endarterectomy (CEA) is a conventional surgical technique to prevent ischemic stroke and the effectiveness for advanced lesions is established in many large studies. The vagus nerve is one of the cranial nerves that we usually encounter during CEA manipulation, which is identified as located posterior to the vessels in a position posterolateral to the carotid artery and posteromedial to the internal jugular vein.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>We experienced an extremely rare case of the vagus nerve passing anterior to the internal carotid artery during CEA.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>We should be careful not to accidentally cut off because the variation of the vagus nerve can be mistaken for an ansa cervicalis. A delicate and complete dissection to understand the variation of the vagus nerve is crucial to minimize the risk of cranial nerve injury during CEA.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_216_2021","type":"journal-article","created":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T12:00:49Z","timestamp":1623672049000},"page":"278","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unusual course of the vagus nerve passing anterior to the internal carotid artery during carotid endarterectomy"],"prefix":"10.25259","volume":"12","author":[{"given":"Ichiro","family":"Kawahara","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eri","family":"Shiozaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosuke","family":"Soejima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuka","family":"Ogawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoichi","family":"Morofuji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomonori","family":"Ono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wataru","family":"Haraguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Tsutsumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,6,14]]},"reference":[{"key":"10.25259\/SNI_216_2021\/ref-1","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1067\/mva.2000.109751","article-title":"Cranial and cervical nerve injuries after repeat carotid endarterectomy","volume":"32","author":"AbuRahma","year":"2000","journal-title":"J Vasc Surg"},{"key":"10.25259\/SNI_216_2021\/ref-2","doi-asserted-by":"crossref","first-page":"745","DOI":"10.2214\/ajr.176.3.1760745","article-title":"Sonography of the cervical vagus nerve: Normal appearance and abnormal findings","volume":"176","author":"Giovagnorio","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"10.25259\/SNI_216_2021\/ref-3","first-page":"15","article-title":"Unusual course of the vagus nerve in the neck passing anterior to the common carotid artery","volume":"13","author":"Gradev","year":"2020","journal-title":"Int J Anat Var"},{"key":"10.25259\/SNI_216_2021\/ref-4","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1002\/lio2.275","article-title":"Syntopy of vagus nerve in the carotid sheath: A dissectional study of 50 cadavers","volume":"4","author":"Hojaij","year":"2019","journal-title":"Laryngoscope Investig Otolaryngol"},{"key":"10.25259\/SNI_216_2021\/ref-5","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.3174\/ajnr.A2476","article-title":"Variations in the course of the cervical vagus nerve on thyroid ultrasonography","volume":"32","author":"Park","year":"2011","journal-title":"AJNR Am J Neuroradiol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/unusual-course-of-the-vagus-nerve-passing-anterior-to-the-internal-carotid-artery-during-carotid-endarterectomy-2\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/unusual-course-of-the-vagus-nerve-passing-anterior-to-the-internal-carotid-artery-during-carotid-endarterectomy-2\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T12:00:54Z","timestamp":1623672054000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/unusual-course-of-the-vagus-nerve-passing-anterior-to-the-internal-carotid-artery-during-carotid-endarterectomy-2\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,14]]},"references-count":5,"alternative-id":["10.25259\/SNI_216_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_216_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,14]]},"article-number":"278"}}