Eagle syndrome as a cause of transient ischemic attacks: Case report

Hamad I. Farhat, Mohamed Samy Elhammady, Habib Ziayee, Mohammad Ali Aziz-Sultan, Roberto C. Heros

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

Eagle syndrome is an uncommon entity but is well known in the otorhinolaryngology and oral surgery literature. This syndrome results from the compression of cranial nerves in the neck by an elongated styloid process causing unilateral cervical and facial pain. The styloid process can also cause compression of the cervical carotid arteries leading to the so-called carotid artery syndrome together with carotidynia or neurological symptoms due to flow reduction in these arteries. The authors discuss the case of a 70-year-old man who suffered from transient ischemic attacks on turning his head to the left, with immediate remission of symptoms when his head returned to the neutral position. The patient was studied with dynamic angiography, which clearly showed focal flow restriction. Once a diagnosis was made, the styloid process was removed surgically and the patient completely recovered from his symptoms. A postoperative angiogram demonstrated complete resolution of the pathology. Neurosurgeons might encounter patients with Eagle syndrome and should be aware of the symptoms and signs. Once the diagnosis is made, the treatment is clear and very effective.

Original languageEnglish (US)
Pages (from-to)90-93
Number of pages4
JournalJournal of neurosurgery
Volume110
Issue number1
DOIs
StatePublished - Jan 1 2009

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Keywords

  • Dynamic angiogram
  • Eagle syndrome
  • Internal carotid artery
  • Styloid process
  • Transient ischemic attack

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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