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المؤلفSafan, Abeer Sabry
المؤلفAtta, Mohamed A.
المؤلفEltazi, Isra
المؤلفMelikyan, Gayane
المؤلفEl Sotouhy, Ahmed
المؤلفImam, Yahia
تاريخ الإتاحة2024-05-19T11:23:06Z
تاريخ النشر2024
اسم المنشورInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
المصدرScopus
المعرّفhttp://dx.doi.org/10.1016/j.inat.2023.101873
الرقم المعياري الدولي للكتاب22147519
معرّف المصادر الموحدhttp://hdl.handle.net/10576/55105
الملخصBackground: Eagle syndrome is a rare condition with a prevalence estimated at 4%, with 0.16% exhibiting symptoms of Eagle's syndrome resulting from an elongated styloid process or a calcified stylohyoid ligament, compressing over nearby vessels and nerves. Symptoms range from simple headache, neck pain, and odynophagia to cerebral ischemia. Since it can be an incidental finding, management is controversial and ranges from conservative treatment to surgical intervention, including internal carotid stenting and styloidectomy. Clinical presentation: We report two cases of Eagle's syndrome. Case one (Vascular variant): 44 years old presented with left-sided weakness with Magnetic Resonance Imaging and an angiogram of the brain showing a right middle cerebral artery hemispheric infarct with a right internal carotid artery (ICA) dissection and elongated styloid processes more on the left. The patient's condition improved with supportive care. He was treated with aspirin, atorvastatin, and an intensive 16-week rehabilitation program. Case two (Classic variant): 41 years old presented with refractory occipital headache and neck pain without vascular insult. Magnetic resonance of both patients showed a long styloid process. Conclusions: Eagle's Syndrome is a rare entity and perhaps overlooked as an anatomical variant that ought to be considered a possible etiology in atraumatic ICA dissection in patients with no discernable risk factors. As observed in case one, with atraumatic ICA dissection and unremarkable connective tissue disease work-up, highlighting anatomical variant, as an etiology to his ischemic stroke. Styloidectomy should be considered to avert risk of recurrent IC dissections in such patients with atraumatic IC dissection and classic eagle's syndrome with refractory orofacial pain syndromes exacerbated by head movement or yawning.
راعي المشروعThe authors would like to acknowledge Qatar National Library (QNL) for this publication's funding
اللغةen
الناشرElsevier
الموضوعDissection
Eagle's syndrome
Internal carotid artery
Neuralgia
العنوانEagle syndrome an overlooked cause of internal carotid artery dissection, Case series
النوعArticle
رقم المجلد36
dc.accessType Open Access


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