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Bilateral Eagle Syndrome Causing Dysphagia

A 62-year-old man presented with complaints of dysphagia to solids and liquids, a globus sensation, and dysphonia. He recently had undergone emergent surgery via a right anterior cervical approach for cervical fusion. After surgery he noted an increased effort to swallow, without aspiration. Flexible nasolaryngoscopy revealed right vocal fold hypomobility with complete glottic closure, vocal fold atrophy, and edema of the posterior pharyngeal wall. The patient completed a modified barium swallow study, which showed an “odd” trajectory of the hyoid with hyolaryngeal elevation during the swallow. Computed tomography (CT) of the neck with 3-dimensional reconstruction images was then obtained, which indiFigure 1. This 3-D reconstruction CT, sagittal view, shows the completely calcified stylohyoid ligaments (* = hyoid, ■ = stylohyoid ligament).