Eagle syndrome is a rare condition where elongated temporal styloid processes, or calcified stylohyoid ligaments, are in conflict with the adjacent anatomical structures giving rise to a complex range of symptoms including otalgia, dysphagia, foreign body sensation in throat, pain along carotid artery distribution and others. Commonly, the syndrome is documented to be unilateral. However, bilateral cases are also reported though rarely. Multislice computed tomography scan with 3D reconstruction can be really helpful in diagnosing the elongated styloid processes and their mass effect on the surrounding adjacent anatomical structures. Scan is also helpful in deciding further management and guides the surgeon on how and from where to approach the surgery. We present here a case of a 37-years-old man with significantly enlarged and thickened bilateral styloid process causing significant characteristic symptoms.
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Internal carotid artery dissection leading to occlusion in a patient with nonelongated styloid process: illustrative case.
J Neurosurg Case Lessons
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Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan.
Background: Eagle syndrome is characterized by an elongated styloid process causing mechanical stress on the internal carotid artery (ICA). The authors present the case of a patient who had cervical ICA dissection with a nonelongated styloid process.
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An unusual case of a patient with bilateral carotid artery dissection caused by compression from elongated styloid processes is presented. The diagnosis was overlooked 8 years earlier. Eagle syndrome, marked by an elongated styloid process, can result in cervical artery dissection, highlighting the significance of recognizing this correlation in recurrent cases, which occur more frequently than idiopathic internal carotid artery dissections.
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J Stroke Cerebrovasc Dis
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Article Synopsis
- Eagle syndrome involves the impingement of an elongated styloid process or calcified stylohyoid ligament on neck structures, impacting vascular elements, known as stylocarotid syndrome, is less understood by doctors.
- A review of cases at the hospital showed five instances of vascular issues linked to Eagle syndrome, including serious conditions like carotid perforation and internal carotid dissections.
- There's a call for a unified definition of Eagle syndrome to improve diagnosis and treatment, with styloidectomy often used for compression, but further research is needed for other circumstances.
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