title: Jaw claudication as a result of carotid artery disease.
abstract: BACKGROUND
  Jaw claudication is mostly described as a symptom of giant cell arteritis. However it can also occur in presence of severe bilateral external carotid artery stenosis.
  
  
  METHODS
  An 87-year-old man with extensive cardiovascular history presented with disabling bilateral jaw claudication. Duplex Scan and MR-Angiography showed severe bilateral ostial external carotid artery stenosis. After unilateral carotid endarterectomy, the symptoms disappeared.
  
  
  CONCLUSIONS
  Bilateral jaw claudication as a symptom of carotid atherosclerosis is a rare condition. It can be treated by unilateral carotid endarterectomy.
authors.affiliation: Department of Vascular Surgery, ZNA-Jan Palfijn, Antwerp, Belgium. marc.janssens@emdsite.net
authors.forename: M A P
authors.initials: MA
authors.lastname: Janssens
authors.forename: Th H J
authors.initials: TH
authors.lastname: Van Thielen
authors.forename: H G L
authors.initials: HG
authors.lastname: Van Veer
mesh_terms: D000369:Aged, 80 and over; D016893:Carotid Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D016894:Endarterectomy, Carotid / Q000379:methods*; D006801:Humans; D007383:Intermittent Claudication / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007571:Jaw Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male