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Eagle's syndrome. Report of a case.

H M Baddour, J T McAnear, H B Tilson

    Oral Surgery, Oral Medicine, and Oral Pathology
    |October 1, 1978
    PubMed
    Summary

    A rare case of symptomatic elongated styloid process in a young patient presented atypically, mimicking other conditions and leading to misdiagnosis. This highlights the need for broader differential diagnoses in chronic head and neck pain.

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    Area of Science:

    • Otolaryngology
    • Neurology
    • Pain Medicine

    Background:

    • Eagle syndrome, characterized by an elongated styloid process, typically presents with classic symptoms.
    • Symptomatic elongated styloid process can manifest atypically, especially in younger individuals.

    Observation:

    • A patient under 30 experienced classic Eagle syndrome symptoms without prior tonsillectomy.
    • The patient also presented with symptoms suggestive of carotid artery syndrome.
    • Despite characteristic symptoms, the patient was misdiagnosed with psychological causes for chronic head and neck pain.

    Findings:

    • This case highlights an uncommon presentation of symptomatic elongated styloid process.
    • The patient's symptoms did not align with typical clinical features of Eagle syndrome.
    • Misdiagnosis occurred due to the unusual presentation and lack of prior tonsillectomy.

    Implications:

    • This case underscores the importance of considering Eagle syndrome in the differential diagnosis of unexplained chronic head and neck pain, even with atypical features.
    • Accurate diagnosis of elongated styloid process is crucial to avoid misdiagnosis and inappropriate treatment.
    • Further research into atypical presentations of Eagle syndrome may improve diagnostic accuracy and patient outcomes.

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