Clinical images: Eagle's syndrome

Nagato, Toshihiro; Ohara, Kenzo; Takahara, Miki; Hayashi, Tatsuya; Harabuchi, Yasuaki

doi:10.1002/art.34418

Cited by 3 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The disease is not well known among physicians and is underdiagnosed; however, it may result in neighboring vascular injury (1), and surgery provides effective pain relief (2). Although swallowing pain is a common chief complaint in daily medical practice, this symptom is sometimes a red flag for serious diseases and may unavoidably expose the patient to chronic anxiety, as observed in the present case.…”

mentioning

confidence: 66%

Eagle's Syndrome Manifesting as Chronic Swallowing Pain

et al. 2015

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 66%

Eagle's Syndrome Manifesting as Chronic Swallowing Pain

et al. 2015

View full text Add to dashboard Cite

show abstract

Glossopharyngeal Nerve Block

Narouze

2014

Interventional Management of Head and Face Pain

View full text Add to dashboard Cite

Neurological phenotypes and treatment outcomes in Eagle syndrome: systematic review and meta-analysis

Hassani,

Grønlund,

Albrechtsen

et al. 2024

PeerJ

View full text Add to dashboard Cite

Background Eagle syndrome is caused by an elongated styloid process affecting carotid arteries and cranial nerves. Pain, dysphagia, tinnitus, paresthesia (classic subtype), and neurovascular events (vascular subtype) may be triggered by head movements or arise spontaneously. However, Eagle syndrome remains underappreciated in the neurological community. We aimed to determine the most common neurological and non-neurological clinical presentations in patients with Eagle syndrome and to assess the clinical outcome post-surgical resection in comparison to non-surgical therapies. Methodology We conducted a systematic review of patient-level data on adults with Eagle syndrome, following PRISMA guidelines. We extracted data on demographics, presenting symptoms, neurological deficits, radiological findings, and treatments, including outcomes and complications, from studies in multiple indexing databases published between 2000 and 2023. The study protocol is registered with PROSPERO. Results In total, 285 studies met inclusion criteria, including 497 patients with Eagle syndrome (mean age 47.3 years; 49.8% female). Classical Eagle (370 patients, 74.5%) was more frequent than vascular Eagle syndrome (117 patients, 23.5%, p < 0.0001). Six patients (1.2%) presented with both variants and the subvariant for four patients (0.8%) was unknown. There was a male preponderance (70.1% male) in the vascular subtype. A history of tonsillectomy was more frequent in classic (48/153 cases) than in vascular (2/33 cases) Eagle syndrome (Odds Ratio 5.2, 95% CI [1.2–22.4]; p = 0.028). By contrast, cervical movements as trigger factors were more prevalent in vascular (12/33 cases) than in classic (7/153 cases) Eagle syndrome (Odds Ratio 7.95, 95% CI [2.9–21.7]; p = 0.0001). Headache and Horner syndrome were more frequent in vascular Eagle syndrome and dysphagia and neck pain more prominent in classic Eagle syndrome (all p < 0.01). Surgically treated patients achieved overall better outcomes than medically treated ones: Eighty-one (65.9%) of 123 medically treated patients experienced improvement or complete resolution, while the same applied to 313 (97.8%) of 320 surgical patients (Odds Ratio 1.49, 95% CI [1.1–2.0]; p = 0.016). Conclusions Eagle syndrome is underdiagnosed with potentially serious neurovascular complications, including ischemic stroke. Surgical treatment achieves better outcomes than conservative management. Although traditionally the domain of otorhinolaryngologist, neurologist should include this syndrome in differential diagnostic considerations because of the varied neurological presentations that are amenable to effective treatment.

show abstract

Clinical images: Eagle's syndrome

Cited by 3 publications

References 3 publications

Eagle's Syndrome Manifesting as Chronic Swallowing Pain

Eagle's Syndrome Manifesting as Chronic Swallowing Pain

Glossopharyngeal Nerve Block

Neurological phenotypes and treatment outcomes in Eagle syndrome: systematic review and meta-analysis

Contact Info

Product

Resources

About