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Case Reports
. 2016 Jun 13:81:277-80.
doi: 10.12659/PJR.896741. eCollection 2016.

Eagle Syndrome Causing Vascular Compression with Cervical Rotation: Case Report

Hakan Demirtaş  1 , Mustafa Kayan  1 , Hasan Rıfat Koyuncuoğlu  2 , Ahmet Orhan Çelik  1 , Mustafa Kara  1 , Nihat Şengeze  3
Affiliations
Case Reports

Eagle Syndrome Causing Vascular Compression with Cervical Rotation: Case Report

Hakan Demirtaş et al. Pol J Radiol. .

Abstract

Background: Eagle syndrome is a condition caused by an elongated styloid process. Unilateral face, neck and ear pain, stinging pain, foreign body sensation and dysphagia can be observed with this syndrome. Rarely, the elongated styloid process may cause pain by compressing the cervical segment of the internal carotid and the surrounding sympathetic plexus, and that pain spreading along the artery can cause neurological symptoms such as vertigo and syncope.

Case report: In this case report we presented a very rare eagle syndrome with neurological symptoms that occurred suddenly with cervical rotation. The symptoms disappeared as suddenly as they occurred, with the release of pressure in neutral position. We also discussed CT angiographic findings of this case.

Conclusions: Radiological diagnosis of the Eagle syndrome that is manifested with a wide variety of symptoms and causes diagnostic difficulties when it is not considered in the differential diagnosis is easy in patients with specific findings. CT angiography is a fast and effective examination in terms of showing compression in patients with the Eagle syndrome that is considered to be atypical and causes vascular compression.

Keywords: Angiography; Eagles; Multidetector Computed Tomography; Vertigo.

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Figures

Figure 1
Figure 1
(A) The contrast-enhanced MDCT angiography shows the styloid process causing a light pressure on the left ICA (arrowhead: ICA, arrow: styloid process). (B) Bilateral elongated styloid processes are seen on the coronal section MIP (Maximum Intensity Projection) images. (star: ICA, arrow: styloid process).
Figure 2
Figure 2
(A) The MDBT angiography shows the evident compression of the styloid processes on the left cervical rotational position (arrowhead: ICA, arrow: styloid process). (B) Compression finding on the coronal section and MIP images (arrowhead: styloid process, arrow: ICA). Imaging in the cervical rotation was performed with lower kV and lower contrast agent volume in order to reduce the amount of radiation and contrast agent-related burden, which is why the image quality is lower.
See this image and copyright information in PMC

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