Delayed Diagnosis of Neck Pain: Eagle Syndrome

Priyamvada, Shaili; Singh, Himanshu; Parnami, Pankul; Puri, Archana; Kahlon, Sukhmanii; Chitkara, Akshit; Puri, P; Suri, Yogita

doi:10.7759/cureus.18286

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…Eagle syndrome (elongated styloid process) was initially described by Watt Weems Eagle who was an American otorhinolaryngologist. It is an abnormality of ossification/morphology of the styloid process [1][2][3][4]. The styloid process is a slender outgrowth at the base of the temporal bone, immediately posterior to the mastoid apex.…”

Section: Discussionmentioning

confidence: 99%

Eagle’s syndrome (Elongated styloid process) an unrecognized rare cause of neck pain: A case illustration

Mostarchid¹,

Mostarchid²,

Laaguili³

et al. 2022

World J. Adv. Res. Rev.

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Eagle syndrome is a rare condition characterized by an abnormally elongated styloid process with or without abnormal direction and/or ossification of the styloid ligament. 45-year-old men with the complaint of left-sided neck pain below the ear for 3 years. The diagnosis of cervical arthrosis was made and physiotherapy was advised for 2 years. Three-dimensional Computed tomography scan revealed bilateral elongated styloid processes: both styloid processes were found to be longer than normal. No vascular compression was documented. Surgery was advised but the patient has refused. The management was conservative with non-steroid analgesics and antalgics. These symptoms are not specific because the symptoms related to this condition can be confused with those attributed to a wide variety of disorders including facial neuralgias, oral, otologic, and spinal diseases. Diagnosis is made with appropriate radiological examination specially cranial 3D CT scan. The treatment of Eagle's syndrome is primarily surgical. The styloid process can be shortened through an intraoral or external approach. Neurosurgeons, Otolaryngologists, and dental surgeons should be aware of the existence and incidence of this clinical entity, which is associated with reduced quality of life.

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Section: Discussionmentioning

confidence: 99%

Eagle’s syndrome (Elongated styloid process) an unrecognized rare cause of neck pain: A case illustration

Mostarchid¹,

Mostarchid²,

Laaguili³

et al. 2022

World J. Adv. Res. Rev.

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show abstract

“…There is no association between age and Eagle syndrome. Although the majority of patients are middle-aged and elderly 12,19 , younger patients may suffer from this entity 13,17,26 . There seems to be a slight predominance in female patients 27 .…”

Section: Eagle Syndromementioning

confidence: 99%

“…Treatment includes drug therapy (duloxetine, gabapentin, pregabalin, dexamethasone) and surgical excision of the styloid process 17,18,23 . Most authors prefer the surgical styloidectomy 12,13,22,26,28 . In some patients, partial styloidectomy is preferred to complete resection 20 .…”

Section: Eagle Syndromementioning

confidence: 99%

Peculiar Features and Surgical Approach in Syndromes With Maxillofacial Implications: A Case Series and Updated Review

Grillo¹,

Madruga²,

Júnior³

et al. 2023

JBSMFS

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Objectives: This paper aims to discuss some important aspects of surgical planning and treatment of some syndromes with maxillofacial implications. Methods: A case series of five different syndromes with maxillofacial implications was reported. We searched MEDLINE for a surgical approach to these maxillofacial syndromes. PROCESS guidelines have been adopted for the current case series. A Pearson correlation test was performed and considered significant only with a 95% confidence interval. Discussion: The number of publications on the subject of maxillofacial surgery is not related to the incidence of the reported syndromes. Surgical planning and treatment have been discussed in cases of Eagle´s syndrome, Jacob´s disease, Crouzon syndrome, Cleidocranial dysplasia, and Goldenhar syndrome. A brief report of the features of the syndrome and surgical procedures involved were evaluated. Conclusions: Styloidectomy and coronoidectomy are considered the best treatments for Eagle´s syndrome and Jacob´s disease, respectively. For some syndromes, tailored surgical treatment is essential. Some data must be considered in surgical planning and treatment. Depending on one characteristic or another, the surgical procedure can be chosen.

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“…In this variant, known as stylocarotid artery syndrome (SAS), the elongated SP compresses or protrudes into the ICA ( Figure 1 ), causing transient neurologic symptoms, including transient ischemic attacks (TIA) and stroke [ 2 , 3 ]. Therefore, identification of the cause and diagnosis of the underlying disease are often delayed [ 4 ]. Surgery (styloidectomy) is indicated in cases of refractory pain where other methods, including pharmacological treatment, have failed but it seems to be a necessary procedure in the diagnosis of pressure and/or dissection of the ICA.…”

mentioning

confidence: 99%

“…ES was initially described in 1937 by W.W. Eagle, as facial, neck, and laryngeal pain associated with elongation of the ipsilateral SP, with or without calcification of the SL. The length of the SP ranges from 25 to 30 mm and is elongated in 4–7% of the population [ 4 ], usually asymptomatic (up to 30%), and symptomatic, as we mentioned aboved – in about 4% to 10%. Between the external and ICA lies the clinically important apex of the SP, as in our patients.…”

mentioning

confidence: 99%

Eagle’s syndrome: one cause, many problems. Presentation of a series of clinical cases with headaches and increased risk of stroke

Stopińska

Domitrz

2022

Arch Med Sci

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Delayed Diagnosis of Neck Pain: Eagle Syndrome

Cited by 4 publications

References 10 publications

Eagle’s syndrome (Elongated styloid process) an unrecognized rare cause of neck pain: A case illustration

Eagle’s syndrome (Elongated styloid process) an unrecognized rare cause of neck pain: A case illustration

Peculiar Features and Surgical Approach in Syndromes With Maxillofacial Implications: A Case Series and Updated Review

Eagle’s syndrome: one cause, many problems. Presentation of a series of clinical cases with headaches and increased risk of stroke

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