"Styloid" syncope.

Neurology

The Chiari Institute, North Shore-Long Island Jewish Health System, 865 Northern Blvd., Suite 302, Great Neck, NY 11021, USA.

Published: November 2008

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http://dx.doi.org/10.1212/01.wnl.0000334762.90440.67DOI Listing

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Vascular variant of Eagle syndrome: a review.

Front Neurol

October 2024

Department of Neurology, Dijon Stroke Registry, University Hospital of Dijon, EA7460, University of Burgundy, Dijon, France.

Eagle syndrome is defined as an elongated styloid process (ESP) that compresses nearby vasculo-nervous structures. The vascular variant of Eagle syndrome can lead to neurological symptoms including syncope, transient ischemic attack, or stroke; however, it has also been associated with other atypical presentations, making its diagnosis challenging. This review aimed to depict the characteristics of patients with the symptomatic vascular variant of Eagle syndrome.

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Article Synopsis
  • Eagle syndrome is a bone disease causing the styloid process (a small bone near the neck) to grow too long, leading to pain in the throat and neck.
  • A study looked at 6 patients and found they mostly had neck pain, a feeling like something is stuck in their throat, and difficulty swallowing.
  • The researchers discovered that the elongated styloid processes were made of mature bone and might be growing differently than what was previously thought, which helps understand why this happens.
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Eagle's syndrome is characterised by elongation of the styloid process. The elongated styloid process can cause symptoms like dysphagia, facial or neck pain, syncope, visual changes, etc. In severe cases, it may cause a rupture or dissection of the carotid artery, which can lead to intracranial thrombo-embolism and ischemic stroke.

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Eagle syndrome is a rare disease characterised by symptoms associated with an elongated styloid process or calcification of the stylohyoid and stylomandibular ligament. Symptoms associated with Eagle Syndrome include orofacial and cervical pain, dysphagia, and pharyngeal foreign body sensation. Additionally, it can present with cerebrovascular symptoms due to the compression of adjacent neurovascular structures within the vicinity of the styloid process during rotation and extension of the neck.

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We herein report a 54-year-old man with eagle syndrome who presented with repeated episodes of syncope, especially after moving his head to a downward position. Computed tomography with contrast revealed a bilateral elongated styloid process. The left internal carotid artery was obviously compressed by the left elongated styloid processes.

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