Carotid-type Eagle syndrome should be considered in patients with unexplained presyncope, particularly when symptoms are position-dependent. High-resolution CT is essential for identifying elongated styloid processes and their relationship to the carotid space. Transcervical styloidectomy provides excellent vascular exposure, enabling safe dissection, complete resection, and effective symptom resolution while minimizing neurovascular complications.
Garcia et al. (Sun,) studied this question.