A rare vascular complication of Eagle syndrome highlight by CTA with neck flexion

Radiology Case Reports

Alexandra GOUTTE, MD¹  Maxime DEFORCHE, MD²  Nicolas BRASSART, MD³  Didier WERY, MD⁴ 

[1] Corresponding author.;Department of Radiology, CHU Ambroise Paré, Mons, Belgium;Department of Interventional Radiology, CHU Ambroise Paré, 2, Boulevard Kennedy, 7000 Mons, Belgium;Department of Radiology, CHU Ambroise Paré, Mons, Belgium;

关键词: Eagle syndrome;    Carotid artery dissection;    Carotid artery aneurysm;    Carotid artery pseudo-aneurysm;    Stroke in young adults;    Neck flexion CTA;   

DOI  :  

来源: DOAJ

【 摘 要 】

We report a case of a 53-year-old woman admitted to the emergency department with left hemiplegia, tinnitus and palpitations. A cerebral and cervical computed tomography angiography revealed an acute large ischemic stroke on the right Sylvian territory, which was related to a dissection of the right internal carotid. Moreover, a left internal carotid pseudo-aneurysm was observed.These two injuries were presumably imputable to a bilateral Eagle Syndrome.Indeed, the temporal styloid processes were measured at 31mm on both sides.To support our hypothesis of a stylocarotid impingement, a cervical CTA with hyperflexion (45°) of the neck was performed. It clearly revealed the bilateral impingement between the styloid processes and internal carotids.It seems important to know that Eagle syndrome may lead to disabling diseases or even death as well as an ischemic stroke. The vascular impingement with bilateral vascular injuries was never described.To our knowledge, our “neck flexion cervical CTA” to reveal the stylocarotid impingement has never been described before. This approach could lead to a new investigation technique, to better identify this underestimated pathology in the medical doctors community.

【 授权许可】

Unknown