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An elongated styloid process may impinge and compromise surrounding structures like the Internal Carotid artery (ICA) leading to a spectrum of symptoms like neck pain, headache, transient ischemic attack (TIA) or even stroke. This is described as the Stylocarotid syndrome, which is a vascular variant of Eagle syndrome. We report a case of a 67 year old male patient who had a stormy course in hospital, but correct diagnosis, etiology recognition and optimal management provided him with new lease of life.
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