Stylohyoid Chain Syndrome (Eagle Syndrome) in Conjunction with Carotid Artery Dissection: A Case Report of Surgical Treatment

(1) Background: “Eagle Syndrome”, also known as “stylalgia” or a “stylohyoid chain anomaly”, typically manifests with ipsilateral orofacial pain, a foreign body sensation in the throat, and ear-related symptoms. Despite these common presentations, its potential association with carotid artery dissec...

Full description

Bibliographic Details
Main Authors: Jakub Bargiel, Michał Gontarz, Krzysztof Gąsiorowski, Tomasz Marecik, Paweł Wrona, Jan Zapała, Grażyna Wyszyńska-Pawelec
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Diseases
Subjects:
Online Access:https://www.mdpi.com/2079-9721/12/1/24
_version_ 1797344265886498816
author Jakub Bargiel
Michał Gontarz
Krzysztof Gąsiorowski
Tomasz Marecik
Paweł Wrona
Jan Zapała
Grażyna Wyszyńska-Pawelec
author_facet Jakub Bargiel
Michał Gontarz
Krzysztof Gąsiorowski
Tomasz Marecik
Paweł Wrona
Jan Zapała
Grażyna Wyszyńska-Pawelec
author_sort Jakub Bargiel
collection DOAJ
description (1) Background: “Eagle Syndrome”, also known as “stylalgia” or a “stylohyoid chain anomaly”, typically manifests with ipsilateral orofacial pain, a foreign body sensation in the throat, and ear-related symptoms. Despite these common presentations, its potential association with carotid artery dissection is not widely acknowledged. (2) Methods: This article presents an extremely rare case of a patient diagnosed with an ischemic stroke in the left hemisphere, followed by the dissection of the left internal carotid artery, initially with an unidentified cause. Subsequent examinations revealed elongated left styloid processes directly compressing the dissected artery. (3) Results: After initial treatment involving pharmacological and mechanical thrombectomy, styloidectomy restored blood flow to the internal carotid artery. The patient remained symptom-free during a 12-month follow-up. (4) Conclusions: This case emphasizes the importance of considering anatomical variations within the stylohyoid chain when assessing young individuals with neurological symptoms. Furthermore, it underscores the potential benefits of early surgical intervention in reducing the morbidity and mortality associated with this condition.
first_indexed 2024-03-08T10:59:48Z
format Article
id doaj.art-1345ea9f2c9941ce8136a89e26c09a2e
institution Directory Open Access Journal
issn 2079-9721
language English
last_indexed 2024-03-08T10:59:48Z
publishDate 2024-01-01
publisher MDPI AG
record_format Article
series Diseases
spelling doaj.art-1345ea9f2c9941ce8136a89e26c09a2e2024-01-26T16:03:48ZengMDPI AGDiseases2079-97212024-01-011212410.3390/diseases12010024Stylohyoid Chain Syndrome (Eagle Syndrome) in Conjunction with Carotid Artery Dissection: A Case Report of Surgical TreatmentJakub Bargiel0Michał Gontarz1Krzysztof Gąsiorowski2Tomasz Marecik3Paweł Wrona4Jan Zapała5Grażyna Wyszyńska-Pawelec6Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, PolandDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, PolandDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, PolandDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, PolandDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, PolandDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, PolandDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland(1) Background: “Eagle Syndrome”, also known as “stylalgia” or a “stylohyoid chain anomaly”, typically manifests with ipsilateral orofacial pain, a foreign body sensation in the throat, and ear-related symptoms. Despite these common presentations, its potential association with carotid artery dissection is not widely acknowledged. (2) Methods: This article presents an extremely rare case of a patient diagnosed with an ischemic stroke in the left hemisphere, followed by the dissection of the left internal carotid artery, initially with an unidentified cause. Subsequent examinations revealed elongated left styloid processes directly compressing the dissected artery. (3) Results: After initial treatment involving pharmacological and mechanical thrombectomy, styloidectomy restored blood flow to the internal carotid artery. The patient remained symptom-free during a 12-month follow-up. (4) Conclusions: This case emphasizes the importance of considering anatomical variations within the stylohyoid chain when assessing young individuals with neurological symptoms. Furthermore, it underscores the potential benefits of early surgical intervention in reducing the morbidity and mortality associated with this condition.https://www.mdpi.com/2079-9721/12/1/24eagle syndromestylalgiacarotid artery syndromecarotid artery dissectionCADischemic stroke
spellingShingle Jakub Bargiel
Michał Gontarz
Krzysztof Gąsiorowski
Tomasz Marecik
Paweł Wrona
Jan Zapała
Grażyna Wyszyńska-Pawelec
Stylohyoid Chain Syndrome (Eagle Syndrome) in Conjunction with Carotid Artery Dissection: A Case Report of Surgical Treatment
Diseases
eagle syndrome
stylalgia
carotid artery syndrome
carotid artery dissection
CAD
ischemic stroke
title Stylohyoid Chain Syndrome (Eagle Syndrome) in Conjunction with Carotid Artery Dissection: A Case Report of Surgical Treatment
title_full Stylohyoid Chain Syndrome (Eagle Syndrome) in Conjunction with Carotid Artery Dissection: A Case Report of Surgical Treatment
title_fullStr Stylohyoid Chain Syndrome (Eagle Syndrome) in Conjunction with Carotid Artery Dissection: A Case Report of Surgical Treatment
title_full_unstemmed Stylohyoid Chain Syndrome (Eagle Syndrome) in Conjunction with Carotid Artery Dissection: A Case Report of Surgical Treatment
title_short Stylohyoid Chain Syndrome (Eagle Syndrome) in Conjunction with Carotid Artery Dissection: A Case Report of Surgical Treatment
title_sort stylohyoid chain syndrome eagle syndrome in conjunction with carotid artery dissection a case report of surgical treatment
topic eagle syndrome
stylalgia
carotid artery syndrome
carotid artery dissection
CAD
ischemic stroke
url https://www.mdpi.com/2079-9721/12/1/24
work_keys_str_mv AT jakubbargiel stylohyoidchainsyndromeeaglesyndromeinconjunctionwithcarotidarterydissectionacasereportofsurgicaltreatment
AT michałgontarz stylohyoidchainsyndromeeaglesyndromeinconjunctionwithcarotidarterydissectionacasereportofsurgicaltreatment
AT krzysztofgasiorowski stylohyoidchainsyndromeeaglesyndromeinconjunctionwithcarotidarterydissectionacasereportofsurgicaltreatment
AT tomaszmarecik stylohyoidchainsyndromeeaglesyndromeinconjunctionwithcarotidarterydissectionacasereportofsurgicaltreatment
AT pawełwrona stylohyoidchainsyndromeeaglesyndromeinconjunctionwithcarotidarterydissectionacasereportofsurgicaltreatment
AT janzapała stylohyoidchainsyndromeeaglesyndromeinconjunctionwithcarotidarterydissectionacasereportofsurgicaltreatment
AT grazynawyszynskapawelec stylohyoidchainsyndromeeaglesyndromeinconjunctionwithcarotidarterydissectionacasereportofsurgicaltreatment