Eagle Syndrome: An Unusual Cause of Stroke Successfully Treated by Angioplasty and Mechanical Thrombectomy
2020
We report a case of a 50-year-old male presenting with right arm weakness and mixed aphasia after
motorcycle accident. Basal CT/MR imaging showed absence of acute brain lesions and left internal carotid
artery (ICA) wall hematoma at C1-C2 level close to a prominent styloid process. Multiphase CT
angiography confirmed ICA dissection and a hypertrophic styloid process compressing the ICA at the same
level; ipsilateral intracranial blood flow delay and good collateral circulation were present in the latest CTA
phases [1]. Due to Patient neurological status deterioration, with progressive global aphasia and right
hemiplegia onset, digital subtraction angiography (DSA) was performed urgently. DSA confirmed the CTA
findings together with slowing of cerebral blood flow above the dissection; after mechanical thrombectomy
by aspiration followed by balloon angioplasty, good blood flow and vessel caliber restoration were obtained.
Post-procedural control and follow-up findings are described together with revision of the recent literature
on the possible association between cerebral ischemic stroke and Eagle syndrome.
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