{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:05Z","timestamp":1756321805404,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,21]]},"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>Eagle syndrome is a rare entity that occurs when an elongated styloid process compresses the neck vasculonervous structures. A 47-year-old female patient was referred to our glaucoma clinic for a second opinion concerning bilateral visual field progression despite maximal tolerated medical therapy. After aggressive intraocular pressure lowering and resorting to surgical and optimised medical treatment, the visual field kept stable in the right eye but was still showing progression in the left eye. As optic disc was paler in the left eye and after full appreciation of systemic complaints, including left neck, ear and eye pain, a multidisciplinary approach with otorhinolaryngology was prompted. Plain radiographs of the skull showed an elongated styloid process on the left side, compatible with Eagle syndrome. Surgical resection of the styloid process provided definitive relief of the patient\u2019s eye, ear and neck pain. Since this intervention, there was no further deterioration of visual field defect in the left eye.<\/jats:p>","DOI":"10.1136\/bcr-2021-246862","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T10:26:05Z","timestamp":1643797565000},"page":"e246862","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Eagle syndrome presenting as anterior ischaemic neuropathy: a multidisciplinary approach"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6097-2114","authenticated-orcid":false,"given":"Catarina Oliveira","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Instituto de Oftalmologia Doutor Gama Pinto, Lisboa, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7949-7248","authenticated-orcid":false,"given":"Tom\u00e1s","family":"Loureiro","sequence":"additional","affiliation":[{"name":"Hospital Garcia de Orta, Almada, Portugal, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Abeg\u00e3o Pinto","sequence":"additional","affiliation":[{"name":"Glaucoma Department, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, Lisboa, Portugal"},{"name":"Centro de Estudos da Ci\u00eancias da Vis\u00e3o, Faculdade de Medicina da Universidade de Lisboa, Lisboa, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Tavares Ferreira","sequence":"additional","affiliation":[{"name":"Neuro-ophthalmology Department, Centro Hospitalar Universit\u00e1rio Lisboa Norte EPE, Lisboa, Lisboa, Portugal"},{"name":"Ophthalmology Department, Hospital CUF Descobertas e CUF Cascais, Lisboa, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,2,2]]},"reference":[{"key":"2025082711391276000_15.2.e246862.1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1937.00650010656008"},{"key":"2025082711391276000_15.2.e246862.2","doi-asserted-by":"crossref","first-page":"22","DOI":"10.18203\/issn.2454-5929.ijohns20160064","article-title":"Tonsillostyloidectomy for Eagle\u2019s syndrome: a study of 20 cases","volume":"1","author":"Singh","year":"2016","journal-title":"International Journal of Otorhinolaryngology and Head and Neck Surgery"},{"key":"2025082711391276000_15.2.e246862.3","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.clineuro.2017.04.021","article-title":"Eagle syndrome: a comprehensive review","volume":"159","author":"Badhey","year":"2017","journal-title":"Clin Neurol 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process at both sides: a case report","volume":"27","author":"Jelodar","year":"2018","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"2025082711391276000_15.2.e246862.8","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1177\/1941874418797763","article-title":"Ischemic stroke secondary to stylocarotid variant of Eagle syndrome","volume":"9","author":"Qureshi","year":"2019","journal-title":"Neurohospitalist"},{"key":"2025082711391276000_15.2.e246862.9","doi-asserted-by":"crossref","first-page":"729.e1","DOI":"10.1016\/j.avsg.2011.12.005","article-title":"Eagle syndrome revisited: cerebrovascular complications","volume":"26","author":"Todo","year":"2012","journal-title":"Ann Vasc Surg"},{"key":"2025082711391276000_15.2.e246862.10","first-page":"219","article-title":"Eagle syndrome presenting with neurological symptoms","volume":"28","author":"Aydin","year":"2018","journal-title":"Turk 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