Let L/K be a finite separable field extension, and let E be the normal closure of L/K. Let G = Gal(E/K) and G = Gal(E/L). We call L/K almost cyclic if G has a normal cyclic complement in G. This includes the case that L/K is a cyclic Galois extension or a radical extension. We give a method for counting Hopf-Galois structures on an almost cyclic extension L/K. We then count the Hopf-Galois structures on an almost cyclic extension of degree 2 n , n 3, and determine how many of them are almost classical. This is analogous to a result of T. Kohl [T. Kohl, Classification of the Hopf-Galois structures on prime power radical extensions, J. Algebra 207 (1998) 525-546] which counts the Hopf-Galois structures on a radical extension of odd prime-power degree. In contrast to the odd prime-power degree case, however, we find that an almost cyclic extension L/K of 2-power degree has Hopf-Galois structures for which the Hopf algebra acting on L is not commutative.