Eagle syndrome is caused by elongated/disfigured styloid process, which interferes with the functioning of neighboring structures. It was named after Watt Weems Eagle, who described his first cases in 1937. There are two types of Eagle syndrome:“Classic Eagle syndrome” and “Vascular Eagle syndrome”. It can be caused by compression of cranial nerves, most commonly the glossopharyngeal nerve, with throat and neck pain; compression of the carotid artery which can cause transient ischemic attack/stroke or compression of sympathetic nerves along the artery, leading to symptomsetc. Diagnosis of Eagle syndrome is established based on optimal medical history, physical examination, CT and CT angiography. Management includes conservative and operative treatment. We present a female patient with transient ischemic attack in the carotid system, and later pulsatile tinnitus, caused by carotid dissection and moderate degree stenosis. After extensive investigations, neuroimaging confirmed that the elongated styloid process caused changes in the carotid arteries. Adequate medicamentous therapy was recommended and improvement of the symptoms was noted