Perioperative management of Eagle syndrome complicated by carotid artery dissection

Abstract

Eagle syndrome is characterized by the sensation of a foreign body in the throat, odynophagia, dysphagia, and craniofacial or cervical pain due to an elongated styloid process. Some reports have indicated that an elongated styloid process is one of the causes of carotid artery dissection (CAD). This is the first report describing the anesthetic management of Eagle syndrome complicated by CAD. Careful intratracheal intubation and neurological monitoring are important to prevent intraoperative neurologic deficits. In addition, attention must be paid to postoperative complications such as airway obstruction.

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References

  1. 1.

    Eagle WW. Elongated styloid process. Further observation and a new syndrome. Arch Otolaryngol. 1948;47:630–40.

    PubMed  Article  CAS  Google Scholar 

  2. 2.

    Eagle WW. Symptomatic elongated styloid process; report of two cases of styloid process-carotid artery syndrome with operation. Arch Otolaryngol. 1949;49:490–503.

    PubMed  Article  CAS  Google Scholar 

  3. 3.

    Todo T, Alexander M, Stokol C, Lyden P, Braunstein G, Gewertz B. Eagle syndrome revisited: cerebrovascular complications. Ann Vasc Surg. 2012;26:729.

    PubMed  Article  Google Scholar 

  4. 4.

    Fusco DJ, Asteraki S, Spetzler RF. Eagle’s syndrome: embryology, anatomy, and clinical management. Acta Neurochir. 2012;154:1119–26.

    PubMed  Article  Google Scholar 

  5. 5.

    Balbuena L Jr, Hayes D, Ramirez SG, Johnson R. Eagle’s syndrome (elongated styloid process). South Med J. 1997;90:331–4.

    PubMed  Article  Google Scholar 

  6. 6.

    Shahoon H, Kianbakht C. Symptomatic elongated styloid process or Eagle’s syndrome: a case report. J Dent Res Dent Clin Dent Prospects. 2008;2:102–5.

    PubMed Central  PubMed  Google Scholar 

  7. 7.

    Eagle WW. Elongated styloid process; symptoms and treatment. Arch Otolaryngol. 1958;67:172–6.

    Article  CAS  Google Scholar 

  8. 8.

    Razak A, Short JL, Hussain SI. Carotid artery dissection due to elongated styloid process: a self-stabbing phenomenon. J Neuroimaging. 2012;. doi:10.1111/j.1552-6569.2012.00759.x.

    PubMed  Google Scholar 

  9. 9.

    Savranlar A, Uzun L, Uğur MB, Ozer T. Three-dimensional CT of Eagle’s syndrome. Diagn Interv Radiol. 2005;11:206–9.

    PubMed  Google Scholar 

  10. 10.

    Kawasaki M, Hatashima S, Matsuda T. Non-surgical therapy for bilateral glossopharyngeal neuralgia caused by Eagle’s syndrome, diagnosed by three-dimensional computed tomography: a case report. J Anesth. 2012;26:918–21.

    PubMed  Article  Google Scholar 

  11. 11.

    Potgieter SV. Elongated styloid process causing difficulty during intubation. Anaesthesia. 1959;14:278–81.

    PubMed  Article  CAS  Google Scholar 

  12. 12.

    Kawai T, Shimozato K, Ochiai S. Elongated styloid process as a cause of difficult intubation. J Oral Maxillofac Surg. 1990;48:1225–8.

    PubMed  Article  CAS  Google Scholar 

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Correspondence to Yoshifumi Naito.

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The authors received permission from the patient to publish this case report.

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Naito, Y., Yamazaki, K. Perioperative management of Eagle syndrome complicated by carotid artery dissection. J Anesth 28, 291–293 (2014). https://doi.org/10.1007/s00540-013-1713-6

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Keywords

  • Eagle syndrome
  • Elongated styloid process
  • Carotid artery dissection
  • Neurological monitoring