title: [Transcient ischemic attack, a rare manifestation of Eagle syndrome].
abstract: BACKGROUND
  Clinical presentation of Eagle syndrome (ES) is very variable and non-specific, making its diagnosis difficult. It is usually limited to pain. Transient neurological manifestations are exceptional. We report one case in which the diagnosis of ES has been made based on neurological events occurring during left anterolateral head bending, without pain.
  
  
  METHODS
  A 47-year-old man presented with transient neurological events progressing since two years, half-right body paresthesia and reduced field of vision on the left side type, triggered by left anterolateral head flexion and regressive in neutral position. Transcranial Doppler and CT angiography of the supra-aortic trunks were performed in neutral position and in right and left head rotation that showed a disruption of the left sylvian flow and an extrinsic compression of the left internal carotid artery, due to a musculoskeletal impediment involving the lower end of the temporal styloid process. Complete recovering was achieved after surgical resection of this process. A control CT angiography confirmed the cessation of the compression.
  
  
  CONCLUSIONS
  ES has non-specific and highly variable clinical manifestations making diagnosis difficult or leading to misdiagnosis. ES should be considered in any transient neurological deficit, especially when occurring during head rotation. Treatment relies on surgical resection of the excessively long styloid process.
authors.affiliation: Service de chirurgie maxillo-faciale réparatrice et stomatologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France. Electronic address: julieusseglio@hotmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Usseglio
authors.affiliation: Service de neurologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
authors.forename: F Macian
authors.initials: FM
authors.lastname: Montoro
authors.affiliation: Service de radiologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Martin
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Lerat
authors.affiliation: Service de chirurgie maxillo-faciale réparatrice et stomatologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Laloze
authors.affiliation: Service de chirurgie digestive, générale et endocrinienne, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Taibi
authors.affiliation: Service de chirurgie maxillo-faciale réparatrice et stomatologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Brie
mesh_terms: D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology; D000072226:Computed Tomography Angiography; D003937:Diagnosis, Differential; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000150:complications / Q000175:diagnosis*; D013701:Temporal Bone / Q000002:abnormalities*
keywords: Accident ischémique transitoire; Déficit neurologique; Eagle syndrome; Neurologic manifestations; Syndrome d’Eagle; Transient ischemic attack