Eagle syndrome is a rare condition where an abnormally elongated (over 3cm) calcified stylohyoid ligament irritates the adjacent soft tissues, causing a number of symptoms related to neck movements, such as local pain, odynophagia, dyphagia, otalgia and limited neck mobility. The symptoms depend from the structures involved: cranial nerves VII, IX, X and XII, as well as internal jugular vein and carotid artery. The conservative treatment of the condition includes: non-steroidal anti-inflammatory, antyepileptic drugs, physiotherapy and neck exercises, steroids, and local anesthetic injections. The possible surgical approaches are internal (transoral) or external – transcervical and parapharyngeal. The case is presented of a female patient who suffered neck and shoulder pain from the combined occurrence of left-sided elongated styloid and cervical disc herniation. She was successfully treated with resection of the styloid via parapharyngeal approach.