TY - JOUR T1 - Eagle syndrome JF - Practical Neurology JO - Pract Neurol SP - 548 LP - 549 DO - 10.1136/practneurol-2021-002949 VL - 21 IS - 6 AU - Erika Melissa Báez-Martínez AU - Lucia Maure Blesa AU - Beatriz Sobrino Guijarro AU - Cristina Ordoñez Gonzalez AU - Inmaculada Navas Vinagre AU - Maria Araceli García Torres Y1 - 2021/12/01 UR - http://pn.bmj.com/content/21/6/548.abstract N2 - 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 … ER -