Otolaryngology, Barts Health NHS Trust, London, UK
Otolaryngology, Charing Cross Hospital, London, UK.
BMJ Case Rep. 2022 Mar 9;15(3):e247954. doi: 10.1136/bcr-2021-247954.
Eagle's syndrome is a rare collection of symptoms that occur secondary to an elongated styloid process or calcified stylohyoid ligament irritating its surrounding structures. Classically, this presents as unilateral throat pain or rarely, as acute neurological symptoms secondary to compression of the internal carotid artery: so called 'stylocarotid syndrome'. Significant neurological events in teenagers, secondary to Eagle syndrome have not been reported. We discuss the rare case of a teenage boy, diagnosed with right internal carotid artery dissection and middle cerebral artery infarction, with no cause initially identified. Following further admission with a transient neurological episode, he was noted to have elongated styloid processes with the right abutting the site of carotid dissection. He underwent styloidectomy and has since remained symptom free. This case highlights the importance of considering anatomical variants when assessing young patients with neurological symptoms, and the potential morbidity and mortality benefit that early surgical intervention may have.
鹰钩综合征是一种罕见的症状集合，由过长的茎突或骨化的茎突舌骨韧带刺激其周围结构引起。典型表现为单侧咽喉痛，或罕见情况下因颈内动脉受压而出现急性神经症状：即所谓的“茎突颈动脉综合征”。青少年因鹰钩综合征导致的严重神经事件尚未见报道。我们讨论了一例罕见的青少年男性病例，该患者被诊断为右颈内动脉夹层和大脑中动脉梗死，最初未发现病因。进一步入院时出现短暂性神经发作，发现其右侧茎突过长，与颈动脉夹层部位相贴。他接受了茎突切除术，此后一直无症状。该病例强调了在评估有神经症状的年轻患者时考虑解剖变异的重要性，以及早期手术干预可能带来的发病率和死亡率获益。
