Eagle Syndrome: An Unusual Cause of Stroke Successfully Treated by Angioplasty and Mechanical Thrombectomy

Author Info

Elisa Ciceri Marco Conte Mauro Plebani Piergiuseppe Zampieri Raffaele Augelli

Corresponding Author

Elisa Ciceri
Neuroradiology Unit, University Hospital of Verona, Verona, Italy

A B S T R A C T

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.

Article Info

Article Type

Case Report

Publication history

Received: Tue 14, Apr 2020
Accepted: Tue 12, May 2020
Published: Mon 18, May 2020

Copyright

© 2023 Elisa Ciceri. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.NNB.2020.02.09