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2016, Number 4

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Acta Med 2016; 14 (4)

Eagle’s syndrome

García LA, Origel QG, Nez EVH, Gutiérrez VJL, Domínguez CLG
Full text How to cite this article

Language: Spanish
References: 13
Page: 244-247
PDF size: 210.47 Kb.


Key words:

Eagle’s syndrome, styloid process, stylohyoid ligament.

ABSTRACT

Background: Eagle’s syndrome is characterized by pain radiating to the pharynx and cervical spine, usually associated with dysphagia and foreign body sensation in the throat; it is caused by the elongation of the styloid process due to stylohyoid ligament calcification. Clinical case: We report a 71-year-old male with symptomatology of one year of evolution characterized by pain with paroxysmal exacerbations of the pharynx that radiates to the cervical spine with left lateral rotation associated to dysphagia and foreign body sensation in the throat. On the physical examination, the left anterior tonsillar pillar palpation triggers pain; a tomographic assessment corroborates styloid process elongation. As a diagnostic test, the tonsillar region was infiltrated with xylocaine; the symptoms subsided, so the diagnosis of Eagle’s syndrome was confirmed. Conclusions: Eagle’s syndrome is a rare entity that is diagnosed by screening directed at the tonsillar fossa, confirmed by radiologic studies and local anesthetic infiltration.


REFERENCES

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  2. Thot B, Revel S, Mohandas R, Rao AV, Kumar A. Eagle’s syndrome. Anatomy of the styloid process. Indian J Dent Res. 2000; 11 (2): 65-70.

  3. Oztunç H, Evlice B, Tatli U, Evlice A. Cone-beam computed tomographic evaluation of styloid process: a retrospective study of 208 patients with orofacial pain. Head Face Med. 2014; 10: 5.

  4. Eagle WW. Elongated styloid process; further observations and a new syndrome. Arch Otolaryngol. 1948; 47 (5): 630-640.

  5. Lentini A. Gli aspetti clinici e radiologici delle anomalie dell’apparato stilo-joideo. Radiol Med. 1975; 61: 337-364.

  6. Mendelsohn AH, Berke GS, Chhetri DK. Heterogeneity in the clinical presentation of Eagle’s syndrome. Otolaryngol Head Neck Surg. 2006; 134 (3): 389-393.

  7. Monsour PA, Young WG. Variability of the styloid process and stylohyoid ligament in panoramic radiographs. Oral Surg Oral Med Oral Pathol. 1986; 61 (5): 522-526.

  8. Okur A, Ozkiriş M, Serin HI, Gencer ZK, Karaçavuş S, Karaca L et al. Is there a relationship between symptoms of patients and tomographic characteristics of styloid process? Surg Radiol Anat. 2014; 36 (7): 627-632.

  9. Torres AC, Guerrero JS, Silva HC. A modified transoral approach for carotid artery type Eagle syndrome: technique and outcomes. Ann Otol Rhinol Laryngol. 2014; 123 (12): 831-834.

  10. Müderris T, Bercin S, Sevil E, Beton S, Kırıs M. Surgical management of elongated styloid process: intraoral or transcervical? Eur Arch Otorhinolaryngol. 2014; 271 (6): 1709-1713.

  11. Ceylan A, Köybaşioğlu A, Celenk F, Yilmaz O, Uslu S. Surgical treatment of elongated styloid process: experience of 61 cases. Skull Base. 2008; 18 (5): 289-295.

  12. Balcázar-Rincón LE, Ramírez-Alcántara YL. Síndrome de Eagle. Gac Med Mex. 2013; 149 (5): 552-554.

  13. Kumar P, Rayamane AP, Subbaramaiah M. Sudden death due to Eagle syndrome: a case report. Am J Forensic Med Pathol. 2013; 34 (3): 231-233.




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Acta Med. 2016;14