Evidence map›Paper›PMID 31864313›Full record

ArticleBMC neurology2019

The eagle jugular syndrome.

Paolo Zamboni, Alba Scerrati, Erica Menegatti, Roberto Galeotti, Marcello Lapparelli, Luca Traina, Mirko Tessari, Andrea Ciorba, Pasquale De Bonis, Stefano Pelucchi

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 80 citations in OpenAlex.

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  9. Sternocleidomastoid Omohyoid Entrapment of the Internal Jugular Vein Causing Vertigo and Headaches.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Paolo ZamboniVascular Diseases Center, Ferrara University Hospital, Ferrara, Italy.
Alba ScerratiNeurosurgery Unit, Ferrara University Hospital, Ferrara, Italy. a.scerrati@gmail.com.ORCID http://orcid.org/0000-0002-8607-5323
Erica MenegattiVascular Diseases Center, Ferrara University Hospital, Ferrara, Italy.
Roberto GaleottiInterventional Radiology Unit, Ferrara University Hospital, Ferrara, Italy.
Marcello LapparelliNeurosurgery Unit, Ferrara University Hospital, Ferrara, Italy.
Luca TrainaVascular Surgery Unit, Ferrara University Hospital, Ferrara, Italy.
Mirko TessariVascular Diseases Center, Ferrara University Hospital, Ferrara, Italy.
Andrea CiorbaENT Unit, Ferrara University Hospital, Ferrara, Italy.
Pasquale De BonisNeurosurgery Unit, Ferrara University Hospital, Ferrara, Italy.
Stefano PelucchiENT Unit, Ferrara University Hospital, Ferrara, Italy.
University of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe elongation of the styloid process is historically associated with two variants of the Eagle syndrome. The classic one, mainly characterized by pain and dysphagia, and the carotid variant characterized by pain and sometimes by cerebral ischemia. We observed a further variant characterized by a styloid elongation coursing adjacent to the transverse process of C1, causing significant compression of the internal jugular vein.

methodsWe reviewed all the cases of Eagle syndrome, including the jugular variant, admitted in our Hospital in the last six years. We compared symptomatology, associated comorbidities and imaging. Data were statistically analyzed.

resultsOverall 23 patients were admitted to the Hospital for symptomatic elongation of the styloid process, 11 male and 12 females. The jugular variant of the Eagle syndrome is clinically delineated by significant differences, as compared to the classic variant and carotid variants. Headache was the more prominent symptom (p < .009) as well as a documented peri-mesencephalic hemorrhage was the more significant comorbidity (p < .0003). The group classic-carotid variant was characterized by ipsilateral pain respect to the jugular variant (p < .0003). CT angiography with venous phase extended to the neck veins and imaging reconstruction is highly recommended as imaging technique, complemented by color-Doppler ultrasound.

conclusionsThe elongation of the styloid process may have different paths which creates compression on the surrounding anatomical structures. There may be a possible association of jugular impingement by an elongated styloid process with symptoms.

trial registrationProtocol n°45-2013.

Indexed as

Jugular VeinsAdultFemaleHumansMaleMiddle AgedOssification, HeterotopicTemporal BoneYoung AdultEagle syndromeElongated styloid processJugular compressionPerimesencephalic subarachnoid haemorrhage

Identifiers

PMID31864313
PMCPMC6925502
OpenAlexW2995389743

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.