title: Reversible left hemispheric ischemia secondary to carotid compression in Eagle syndrome: surgical and CT angiographic correlation.
abstract: 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.
authors.affiliation: Department of Radiology, University of Minnesota Medical School, Hennepin County Medical Center, Minneapolis, MN, USA.
authors.forename: W C
authors.initials: WC
authors.lastname: Chuang
authors.forename: J H
authors.initials: JH
authors.lastname: Short
authors.forename: A M
authors.initials: AM
authors.lastname: McKinney
authors.forename: L
authors.initials: L
authors.lastname: Anker
authors.forename: B
authors.initials: B
authors.lastname: Knoll
authors.forename: Z J
authors.initials: ZJ
authors.lastname: McKinney
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery; D002533:Cerebral Angiography; D003937:Diagnosis, Differential; D004292:Dominance, Cerebral / Q000502:physiology*; D006801:Humans; D006928:Hyoid Bone / Q000000981:diagnostic imaging* / Q000601:surgery; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D002546:Ischemic Attack, Transient / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D008022:Ligaments / Q000000981:diagnostic imaging*; D008297:Male; D013223:Statistics as Topic; D013701:Temporal Bone / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed