The Role of Ultrasound Imaging in Evaluating Eagle’s Syndrome: A Case Report

Abstract

Background: Eagle’s Syndrome is a unilateral or bilateral elongation of the styloid process or calcified stylohyoid ligament, along with other symptoms, such as dysphagia, facial pain, globus sensation, and headache. Stylocarotid artery syndrome is a specific type of Eagle’s syndrome that causes various clinical symptoms due to pressure on adjacent anatomical structures. Case Presentation: This study presents a case of a 57-year-old female patient with a complaint of facial pain, head and neck discomfort, globus sensation, difficulty swallowing, and dizziness during head rotation. The patient was diagnosed with a bilateral elongated styloid process through panoramic radiography and cone beam computed tomography. Due to suspicion of stylocarotid artery syndrome, further evaluation was conducted using ultrasound imaging. Conclusion: Bilateral elongated styloid processes can contribute to Stylocarotid Artery Syndrome (SAS). Ultrasound imaging, specifically B-mode and pulsed wave Doppler, proved to be valuable in detecting real-time vascular flow dynamics in extracranial vessels, highlighting its auxiliary role in the assessment of stylocarotid artery syndrome. © 2025 Elsevier B.V., All rights reserved.