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Eagle Syndrome Presenting with Neurological Symptoms.
Elcin Aydin1, Huseyin Quliyev, Celal Cinar
1Baskent University, School of Medicine, Department of Radiology, Izmir, Turkey.
Turkish Neurosurgery
|November 19, 2016
Summary
Eagle syndrome, caused by an elongated styloid process, can manifest with neurological symptoms like transient ischemic attacks and venous compression. Surgical removal led to complete symptom resolution in patients.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Eagle syndrome is a rare condition characterized by throat, neck, or facial pain stemming from an elongated styloid process or calcified stylohyoid ligament.
- It can lead to lower cranial nerve compression, and less commonly, carotid artery issues, termed carotid artery syndrome.
Observation:
- This study retrospectively reviewed 5 patients (22-68 years) presenting with neurological symptoms.
- Computed tomography (CT) confirmed an elongated styloid process as the cause in all cases.
Findings:
- An elongated styloid process was found to cause neurological symptoms, including venous compression in two patients and transient ischemic attacks due to internal carotid artery compression in others.
- One patient underwent surgical removal of the styloid process.
Implications:
- Eagle syndrome should be considered in the differential diagnosis of unexplained neurological symptoms.
- This presentation, involving both arterial and venous compression due to an elongated styloid process, is novel.
- Prompt diagnosis and treatment, including surgical intervention, can lead to favorable patient outcomes.
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