AlAbdulwahed Reem, O'Flynn Paul
Department of Head and Neck Surgery, University College London Hospital, 235 Euston Rd, Bloomsbury, London NW1 2BU, UK.
J Surg Case Rep. 2021 Dec 11;2021(12):rjab530. doi: 10.1093/jscr/rjab530. eCollection 2021 Dec.
Eagle's syndrome refers to a group of characteristic symptoms affecting the oropharynx and neck that are caused by regional compression of structures due to a calcified stylohyoid ligament or an elongated styloid process. Of its two types, the former type is more common than the latter, but carotid artery dissection as a result of an elongated styloid is exceptionally rare. Following an extensive literature review, we present a case of carotid artery dissection causing multiple strokes secondary to direct compression from an elongated styloid process. Managed surgically through excision of the elongated styloid and post-operative rehabilitation, the patient recovered well and was discharged on anti-thrombotic medication, preventing further potentially detrimental attacks.
鹰综合征是指一组影响口咽和颈部的特征性症状，由钙化的茎突舌骨韧带或过长的茎突对局部结构的压迫所致。在其两种类型中，前一种类型比后一种更常见，但过长茎突导致的颈动脉夹层极为罕见。在广泛查阅文献后，我们报告一例因过长茎突直接压迫导致颈动脉夹层并继发多次中风的病例。通过手术切除过长茎突并进行术后康复治疗，患者恢复良好，出院时服用抗血栓药物，以防止进一步可能的有害发作。
