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Eagle’s syndrome: a piercing matter
  1. Matthew Zammit1,
  2. Charmaine Chircop1,
  3. Veronica Attard2 and
  4. Melvin D’Anastasi2
  1. 1 Neuroscience Department, Mater Dei Hospital, Msida, Malta
  2. 2 Medical Imaging Department, Mater Dei Hospital, Msida, Malta
  1. Correspondence to Dr Matthew Zammit, matthewzammit17{at}


We present an unusual case of Eagle’s syndrome with bilateral internal carotid artery dissection in a 45-year-old man. Initial symptomatology included ipsilateral headaches and facial sensory symptoms. A right horner’s syndrome was present on clinical examination. Radiological imaging revealed an old infarct, with bilateral carotid dissections and bilateral elongated styloid processes consistent with Eagle’s syndrome. Despite initiation of secondary prevention with antiplatelet therapy, he had two further ischaemic events. The case highlights the symptomatology and complications of Eagle’s syndrome, with its management discussed through a review of similar case reports.

  • neurology
  • stroke
  • neuroimaging

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  • Contributors MZ wrote up the case report and discussion. MD and CC reviewed the report, with corrections and necessary alterations to the case report carried out. VA provided the imaging figures.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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