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Eagle syndrome presenting as a neurological emergency: A case report
Sokrat Xhaxho1, Gentian Vyshka2, Jera Kruja3
1Department of Neurology, Mother Theresa University Hospital Center, Tirana, Albania.
Surgical Neurology International
|July 5, 2021
Summary
Eagle syndrome, a rare condition involving elongated styloid processes, can cause neurological deficits like stroke. Prompt diagnosis and awareness are crucial for effective management of this uncommon cause of brain infarct.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Eagle syndrome is characterized by styloid process elongation and stylohyoid ligament calcification.
- It rarely manifests as a significant neurological event, such as a brain infarct.
Observation:
- A 64-year-old male presented with acute right-sided hemiparesis.
- Brain imaging revealed a left temporal lobe infarct.
- The infarct was attributed to left internal carotid artery dissection, potentially linked to bilateral elongated styloid processes.
Findings:
- Elongated styloid processes were identified bilaterally, more pronounced on the left.
- Carotid artery dissection was diagnosed as the cause of the ischemic stroke.
- Surgical intervention (styloidectomy) was recommended.
Implications:
- This case highlights the importance of considering Eagle syndrome in patients presenting with stroke.
- Enhanced awareness among emergency department professionals is vital for timely diagnosis.
- Prompt diagnosis and management can prevent severe neurological complications.
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