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Case Reports
. 2020 Mar 18;2(3):449-453.
doi: 10.1016/j.jaccas.2019.12.026. eCollection 2020 Mar.

Eagle Syndrome: A Unique Cause of Carotid Bleeding

Thirsa D Michiels  1 , Martijn S Marsman  1 , Andy van Veen  1   2 , Patrick W H E Vriens  1 , Gert-Jan Lauret  1 , Jan M M Heyligers  1
Affiliations
Case Reports

Eagle Syndrome: A Unique Cause of Carotid Bleeding

Thirsa D Michiels et al. JACC Case Rep. .

Abstract

Eagle syndrome is a rare aggregate of symptoms caused by an elongated styloid process. We present the unique case of bilateral vascular Eagle syndrome in a patient who experienced a unilateral acute swelling due to bleeding at the level of the right internal carotid artery. This complication has never been described before. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; carotid bleeding; cervical hematoma; eagle syndrome; elongated styloid process; internal carotid artery.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Pre-Operative Computed Tomography Angiography With the Axial Plane Image of the Contrast Blush on the Right Side
Figure 2
Figure 2
Pre-Operative Computed Tomography Angiography with the Coronal Plane Image of the Bilateral Elongated Styloid Processes
Figures 3
Figures 3
In-House-Printed 3D Model of the Patient's Carotid Arteries and Bony Structures (A) Straight lateral view from the right and (B) an oblique caudocranial view from the left. The in-house-printed 3D model of the patient's carotid arteries and bony structures allows a better understanding of the relationship between the internal carotid artery and styloid process on the right side.
Figure 4
Figure 4
Incision on the Left Side of the Patient’s Mandibular Edge and Ventral Side of the Sternocleidomastoid Muscle Full blue line shows the patient's mandibular edge. The dotted blue line shows the ventral side of the sternocleidomastoid muscle.
Figure 5
Figure 5
Elongated Styloid Process on the Right Side
Figure 6
Figure 6
Elongated Styloid Process on the Left Side
Figure 7
Figure 7
Bilateral Resected Styloid Processes
Figure 8
Figure 8
Image in the Coronal Plane from the Post-Operative Computed Tomography Angiography With the Resected Bilateral Styloid Processes The red arrows indicate the location of where the, now resected, styloid proccesi used to be.
See this image and copyright information in PMC

References

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