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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 28:143-145, January 2007
© 2007 American Society of Neuroradiology

Case Report
HEAD & NECK

Reversible Left Hemispheric Ischemia Secondary to Carotid Compression in Eagle Syndrome: Surgical and CT Angiographic Correlation

W.C. Chuang^a, J.H. Short^a, A.M. McKinney^a, L. Anker^a, B. Knoll^a and Z.J. McKinney^a

^a From the Department of Radiology, University of Minnesota Medical School and Hennepin County Medical Center, Minneapolis, Minn

Please address correspondence to: James Short, MD, Hennepin County Medical Center, Department of Radiology, 701 Park Ave S, Minneapolis, MN 55415; e-mail: xshort{at}yahoo.com

SUMMARY: Symptoms of ipsilateral carotid artery compression secondary to an elongated styloid process or calcified stylohyoid ligament may be seen in Eagle syndrome. The patient will typically experience cervicofacial pain due to stimulation of the arterial nervous plexus. In addition, symptoms directly attributable to compression of the carotid artery may be seen, including visual symptoms and syncope. We report here the case of a patient who developed symptoms consistent with left hemispheric ischemia within 15 seconds of turning his head to the left. These symptoms were completely reversible on returning the head to the neutral position. No long-term sequelae were detected clinically or radiographically.

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				A Faivre, Z Abdelfettah, S Rodriguez, and F Nicoli Bilateral internal carotid artery dissection due to elongated styloid processes and shaking dancing J. Neurol. Neurosurg. Psychiatry, October 1, 2009; 80(10): 1154 - 1155. [Full Text] [PDF]