DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20213294

Eagle syndrome as a rare cause of recurrent transient ischemic stroke in Senegal (West Africa)

Birame Loum, Cheikh Ahmedou Lame, Cheikhna B. Ndiaye, Kamadore Toure, Mouhamadou Mansour Ndiaye

Abstract


Eagle syndrome is a rare condition, often characterized by nonspecific symptoms. It is due to an abnormally long or compressive styloid process on surrounding structures. Exceptionally, it can cause neuro-vascular manifestations. We report an observation of Eagle syndrome discovered incidentally in presence of recurrent transient ischemic stroke. A 74-year-old man with no cardiovascular risk factors, was admitted to our department following 4 episodes of transient ischemic stroke with right hemiplegia and aphasia, always rapidly resolving. Head and neck CT scan showed 2 long styloid processes with a marked impingement of the left one against the ipsilateral internal carotid artery. Intraoral styloidectomy was performed. The patient recovered fully and remained free of symptoms without neurological impairment, at 6 months. Eagle syndrome is a rare condition which may lead, exceptionally, to repetitive transient ischemic stroke. Surgical styloidectomy must be considered to reduce the risk of new vascular events and prevent serious complications such as dissection of the internal carotid artery.


Keywords


Eagle syndrome, Internal carotid artery, Ischemic stroke, Styloidectomy

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References


Keshelava G, Kurdadze R, Tsiklauri D. Surgical Management of a Patient with an Internal Carotid Artery Stenosis, Eagle Syndrome, and Internal Carotid Artery Tortuosity: A Case of Four Pathologies of the Carotid Arteries. EJVES Vascular Forum. 2021;50:37-9.

Qureshi S, Farooq MU, Gorelick PB. Ischemic Stroke Secondary to Stylocarotid Variant of Eagle Syndrome. The Neurohospitalist. 2019;9(2):105-8.

Eagle WW. Elongated styloid processes: Report of Two Cases. Arch Otolaryngol-Head and Neck Surg. 1937;25(5):584-7.

Brassart N, Deforche M, Goutte A, Wery D. A rare vascular complication of Eagle syndrome highlights by CTA with neck flexion. Radiol Case Rep. 2020;15(8):1408-12.

Ghosh LM, Dubey SP. The syndrome of elongated styloid process. Auris Nasus Larynx. 1999;26(2):169-75.

Hoffmann E, Räder C, Fuhrmann H, Maurer P.styloid – carotid artery syndrome treated surgically with Piezosurgery: A case report and literature review. J Cranio-Maxillofacial Surg. 2013;41(2):162-6.

Scavone G, Caltabiano DC, Raciti MV, Calcagno MC, Pennisi M, Musumeci AG et al. Eagle's syndrome: a case report and CT pictorial review. Radiol Case Rep. 2019;14(2):141-5.

Shindo T, Ito M, Matsumoto J, Miki K, Fujihara F, Terasaka S et al. A Case of Juvenile Stroke due to Carotid Artery Dissection from an Elongated Styloid Process: Revisiting Conservative Management. J Stroke Cerebrovascular Dis. 2019;28(10):104307.

Westbrook AM, Kabbaz VJ, Showalter CR. Eagle's syndrome, elongated styloid process and new evidence for pre-manipulative precautions for potential cervical arterial dysfunction. Musculoskeletal Sci Pract. 2020;50:102219.

Hebant B, Guegan-Massardier E, Macaigne V, Triquenot-Bagan A. Ischemic stroke due to internal carotid artery dissection associated with an elongated styloid process (Eagle syndrome). J Neurological Sci. 2017;372:466-7.