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Eagle syndrome
Practical Neurology Pub Date : 2021-12-01 , DOI: 10.1136/practneurol-2021-002949
Erika Melissa Báez-Martínez 1 , Lucia Maure Blesa 2 , Beatriz Sobrino Guijarro 3 , Cristina Ordoñez Gonzalez 3 , Inmaculada Navas Vinagre 2 , Maria Araceli García Torres 2
Affiliation  

A 36-year-old man reported 4 weeks of left-sided headache and neck pain, with left miosis and ptosis. This had started during vigorous exercise, including abrupt cervical movements, and had been constant since. Six years before he had developed three episodes of numbness in the right arm and leg, each lasting around 15 min, thought to anxiety related. He had no cardiovascular risk factors or history of toxic intake. He had been treated for epilepsy from age 23, but had been seizure free for 11 years. On examination, there was a left-sided Horner’s syndrome, comprising miosis and mild ptosis, but no other abnormalities. Laboratory testing and ECG were unremarkable. MR scan of brain showed the parenchyma was normal, but MR cerebral angiogram showed the left cervical internal carotid artery had a narrowed eccentric lumen, with surrounding crescent-shaped mural thrombus, consistent with …

中文翻译:

老鹰综合症

一名 36 岁男性报告左侧头痛和颈部疼痛 4 周,伴有左侧瞳孔缩小和上睑下垂。这始于剧烈运动期间,包括突然的颈椎运动,此后一直保持不变。六年前,他出现了 3 次右臂和腿麻木,每次持续约 15 分钟,被认为与焦虑有关。他没有心血管危险因素或有毒物质摄入史。他从 23 岁开始接受癫痫治疗,但 11 年没有癫痫发作。体检发现左侧霍纳综合征,包括瞳孔缩小和轻度上睑下垂,但没有其他异常。实验室检查和心电图均无异常。脑部 MR 扫描显示实质正常,但 MR 脑血管造影显示左侧颈内动脉有一个狭窄的偏心管腔,
更新日期:2021-11-18
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