Eagle's syndrome complicates a carotid.

Area of Science:

• Neurology
• Vascular Surgery
• Otolaryngology

Background:

• Eagle's syndrome involves styloid process elongation, causing orofacial pain.
• Symptomatic carotid artery disease is a rare complication of Eagle's syndrome.

Observation:

• A 73-year-old male presented with severe right internal carotid artery stenosis.
• Computed tomography angiography revealed an enlarged styloid process near the carotid artery.
• The patient reported orofacial pain associated with chewing, characteristic of Eagle's syndrome.

Findings:

• This case highlights an uncommon association between Eagle's syndrome and symptomatic carotid disease.
• Surgical resection of the elongated styloid process was performed concurrently with carotid endarterectomy.

Implications:

• This combined surgical approach may be effective for managing coexisting Eagle's syndrome and carotid stenosis.
• Early recognition of this rare condition is crucial for appropriate patient management and preventing cerebrovascular events.