{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:23:08Z","timestamp":1787678588675,"version":"build-2784847793"},"reference-count":28,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,11,4]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>We present an unusual case of Eagle\u2019s 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\u2019s syndrome was present on clinical examination. Radiological imaging revealed an old infarct, with bilateral carotid dissections and bilateral elongated styloid processes consistent with Eagle\u2019s syndrome. Despite initiation of secondary prevention with antiplatelet therapy, he had two further ischaemic events. The case highlights the symptomatology and complications of Eagle\u2019s syndrome, with its management discussed through a review of similar case reports.<\/jats:p>","DOI":"10.1136\/bcr-2018-226611","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e226611","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["Eagle\u2019s syndrome: a piercing matter"],"prefix":"10.1136","volume":"11","author":[{"given":"Matthew","family":"Zammit","sequence":"first","affiliation":[{"name":"Neuroscience Department, Mater Dei Hospital, Msida, Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charmaine","family":"Chircop","sequence":"additional","affiliation":[{"name":"Neuroscience Department, Mater Dei Hospital, Msida, Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Attard","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Mater Dei Hospital, Msida, Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melvin","family":"D\u2019Anastasi","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Mater Dei Hospital, Msida, Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,11,28]]},"reference":[{"key":"2025082800474666000_11.1.e226611.1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0404.2000.00001.x"},{"key":"2025082800474666000_11.1.e226611.2","unstructured":"Mathews T , Achar R , Rattan G . 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