title: Eagle Syndrome Presenting after Blunt Trauma.
abstract: As classically described, Eagle syndrome is an entity where patients develop pain or neurologic manifestations arising from an elongated styloid process and/or an ossified stylohyoid ligament irritating or compressing adjacent cranial nerves or the carotid arteries. Over the past few years, there have been reports of actual injury to the internal carotid artery with dissection, occlusion, and strokes. We present 3 cases identified after blunt trauma: 1 due to carotid compression and 2 due to actual injury to the internal carotid artery. Eagle syndrome should be a consideration in any patient with a carotid injury due to blunt trauma or suffering a syncopal episode which led to blunt trauma. Carotid stenting is an effective treatment modality for injury to the carotid artery when anticoagulation is contraindicated. Styloidectomy is performed for symptoms due to carotid artery compression or if there is concern for future carotid injury from the styloid process.
authors.affiliation: University of Missouri-Kansas City School of Medicine, Kansas City, MO.
authors.forename: Ashley
authors.initials: A
authors.lastname: Mann
authors.affiliation: University of Missouri-Kansas City School of Medicine, Kansas City, MO.
authors.forename: Scott
authors.initials: S
authors.lastname: Kujath
authors.affiliation: University of Missouri-Kansas City School of Medicine, Kansas City, MO. Electronic address: mark.friedell@tmcmed.org.
authors.forename: Mark L
authors.initials: ML
authors.lastname: Friedell
authors.affiliation: University of Missouri-Kansas City School of Medicine, Kansas City, MO.
authors.forename: Scott
authors.initials: S
authors.lastname: Hardouin
authors.affiliation: University of Missouri-Kansas City School of Dentistry, Kansas City, MO.
authors.forename: Chalmers
authors.initials: C
authors.lastname: Wood
authors.affiliation: University of Missouri-Kansas City School of Medicine, Kansas City, MO.
authors.forename: Robert
authors.initials: R
authors.lastname: Carter
authors.affiliation: University of Missouri-Kansas City School of Medicine, Kansas City, MO.
authors.forename: Karl
authors.initials: K
authors.lastname: Stark
mesh_terms: D000328:Adult; D000368:Aged; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D020212:Carotid Artery Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D008297:Male; D009999:Ossification, Heterotopic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011237:Predictive Value of Tests; D012307:Risk Factors; D015607:Stents; D013701:Temporal Bone / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy