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Unveiling the hidden eagle: acute parotitis-induced eagle syndrome
Nitipong Permpalung1, Promporn Suksaranjit1, Daych Chongnarungsin1
1Department of Medicine, Bassett Medical Center and Columbia University College of Physicians and Surgeons, Cooperstown, New York, USA.
North American Journal of Medical Sciences
|April 4, 2014
Summary
Eagle syndrome, characterized by neck pain due to styloid process elongation, can be triggered by acute parotitis. This case highlights a novel cause of this rare condition.
Area of Science:
- Otolaryngology
- Neurology
- Radiology
Background:
- Eagle syndrome is a condition involving cervicofacial pain and pharyngeal foreign body sensation, typically linked to styloid process elongation.
- It is commonly associated with prior tonsillectomy or trauma.
- This report details the first documented instance of Eagle syndrome precipitated by acute parotitis.
Observation:
- A 65-year-old woman presented with unilateral facial pain.
- Initial CT scans indicated acute parotitis, which resolved with antibiotic treatment.
- Persistent pain in the mandibular region, disproportionate to residual inflammation, prompted further review.
Findings:
- A subsequent CT scan revealed an asymmetrically elongated right styloid process.
- The patient's clinical presentation and imaging findings led to the diagnosis of acute parotitis-induced Eagle syndrome.
Implications:
- This case expands the known etiologies of Eagle syndrome.
- Physicians should consider Eagle syndrome in patients with atypical neck pain and elongated styloid processes.
- Prompt diagnosis is crucial as Eagle syndrome can lead to serious complications like carotid artery compression, syncope, and stroke.
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