Department of Neurosurgery, Albany Medical Center, Albany, NY, USA.
Department of Otolaryngology, Louisiana State University, Shreveport, LA, USA.
Br J Neurosurg. 2024 Apr;38(2):523-526. doi: 10.1080/02688697.2021.1921108. Epub 2021 Aug 19.
Eagle syndrome (ES) was first described in 1937, to characterize elongation of the styloid process. It is rarely encountered by neurosurgeons but does present the potential for vascular sequelae and neurological complications.
We discuss three patients with uncommon presentations of neurovascular compromise with uncommon symptomatology, secondary to ES. Their management ranged from retrospective diagnoses following self-limited events, antiplatelet therapy, and endovascular and surgical interventions.
While traumatic fractures, chiropractic manipulation, and history of prior neck surgery have been implicated as the etiologies for ES, congenital cases are common. The styloid process intimately interplays with adjacent neurovascular and nervous structures; its elongation can cause symptoms in 10% of patients.
Awareness of this potentially dangerous but rare disease - more commonly seen by our otolaryngology colleagues - may help reduce diagnostic delays when an elongated styloid process is the cause, as surgery may be required.
鹰综合征（ES）于 1937 年首次被描述，其特征为茎突过长。神经外科医生很少遇到，但它确实存在血管后遗症和神经并发症的风险。
我们讨论了 3 例因 ES 导致的不常见的神经血管损伤的不常见表现和症状。他们的治疗范围从自限性事件后的回顾性诊断、抗血小板治疗、血管内和手术干预。
虽然创伤性骨折、整脊手法和先前颈部手术史被认为是 ES 的病因，但先天性病例很常见。茎突与相邻的神经血管和神经结构密切相关；其伸长可导致 10%的患者出现症状。
对这种潜在危险但罕见的疾病（耳鼻喉科同事更常见）的认识，可能有助于减少因茎突过长而导致的诊断延迟，因为可能需要手术。
