Eagle syndrome is characterized by styloid process elongation greater than 30 mm causing throat and neck pain, globus sensation, and referred otalgia.1 Although Eagle syndrome itself is uncommon, we present 2 cases of a rare variant known as stylocarotid syndrome. In this variant, patients present with neurovascular symptoms including transient ischemic attacks, syncope, and stroke owing to direct mechanical injury to the carotid artery by the enlarged styloid process.2,3 We present 2 cases of differing severity, both treated surgically.