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Eagle syndrome: a rare pathology presented in a 3-Dimensional reconstructed view
Gregory Glauser1, Donald K E Detchou1, Omar A Choudhri1
1Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
British Journal of Neurosurgery
|August 19, 2021
Summary
Eagle syndrome, characterized by an elongated styloid process, can cause severe head and neck pain. This case highlights its potential to mimic other conditions, necessitating advanced imaging for diagnosis and surgical intervention.
Area of Science:
- Neurology
- Otorhinolaryngology
- Vascular Surgery
Background:
- Eagle syndrome is a rare condition caused by an elongated or abnormal styloid process.
- Symptoms can be diverse and often mimic other neurological or vascular disorders.
Observation:
- A 42-year-old male presented with a 3-month history of right-sided frontal headaches, sharp jaw pain, odynophagia, globus pharyngis, and blurry vision.
- Cervicocerebral angiography revealed a prominent 4 cm right styloid process near the right internal carotid artery.
Findings:
- The patient's symptoms were attributed to the elongated styloid process impinging on the right internal carotid artery.
- This anatomical anomaly led to a constellation of neurological and pain symptoms.
Implications:
- Diagnosis requires advanced imaging like cervicocerebral angiography to visualize the styloid process and its relationship with adjacent neurovascular structures.
- Surgical intervention, specifically styloidectomy, is the definitive treatment for symptomatic Eagle syndrome.
- Early and accurate diagnosis is crucial to alleviate chronic pain and prevent potential complications.
