Eagle’s syndrome was a rare condition, and it was not commonly suspected in clinical practice. The elongation of the styloid
process (SP) was considered as the main cause of this syndrome. However, many patients who were incidentally found of an
elongated SP were asymptomatic. This case report presented a rare case of the bilateral elongated SP with the unilateral symptom.
A 59-year-old woman who had come to our attention with the complaint of pain in the right side of the neck, and intensified pain
during neck rotation, swallowing and mouth opening. She also complained of pain in the angle of the mandible, the face and otalgia.
The computed tomography scans and 3D reconstruction allow us to measure the angulation and length of the SP as well as evaluate
the relationship between the SP and adjacent anatomical structures. Surgical excision was performed on the right side although the
patient was diagnosed with bilateral elongated SP. The postoperative course passed regularly, and the postsurgical control showed