Eagle syndrome is defined as symptomatic elongation of the styloid process or calcification of the stylohyoid and stilomandibular ligament. The syndrome was described by WW Eagle in 1937. The styloid process is located between the internal and external carotid arteries and laterally in the tonsillar fossa. Patients with cerebrovascular ischemia causing syncope or hemiparesia due to Eagle syndrome are rarely published in the literature. The authors presented a patient with recurrent cerebrovascular attacks due to long styloid process.
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Recurrent Ischemic Strokes in a 49-Year-Old Patient: Diagnosis and Management of Stylo-Carotid Syndrome (Eagle Syndrome).
Ear Nose Throat J
January 2025
Department of Otorhinolaryngology, Biodonostia Research Institute, Osakidetza, Donostia University Hospital, San Sebastian, Spain.
Internal carotid artery dissection leading to occlusion in a patient with nonelongated styloid process: illustrative case.
J Neurosurg Case Lessons
January 2025
Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan.
Article Synopsis
- Eagle syndrome usually involves a long styloid process stressing the internal carotid artery (ICA), but a case is presented where a patient had ICA dissection without elongation of the styloid process.
- A 43-year-old man experienced left hemiparesis and underwent treatment for a blockage in the right middle cerebral artery and ICA, where the styloid process was found to be linked to the dissection.
- The authors suggest that even a normal-length styloid process can cause mechanical stress that leads to ICA dissection, highlighting the importance of assessing the styloid process in patients with cervical ICA dissection.
Recurrent Internal Carotid Artery Dissection Due to Missed Diagnosis of Eagle Syndrome.
World Neurosurg
January 2025
Department of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland.
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.
View Article and Find Full Text PDFPostoperative fragmentation and distal migration of Carotid Stent in vascular Eagle Syndrome.
J Stroke Cerebrovasc Dis
December 2024
Department of Neurosurgery, Nagoya University of Graduate School of Medicine, Nagoya, Japan. Electronic address:
Objectives: Vascular Eagle syndrome (ES) is a rare condition involving vessel compression by an elongated styloid process, leading to neurologic symptoms. Here, we present the case of a patient with a complication of carotid artery stenting for vascular ES and discuss the implications of treatment of this rare condition.
Case Description: A 35-year-old previously healthy male patient presented with transient aphasia and right-sided hemiparesis following ischemic stroke in left frontal lobe.
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