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[Three cases of Eagle's syndrome].

K Nishihara, J Hanakita, Y Kinuta

    No Shinkei Geka. Neurological Surgery
    |March 1, 1986
    PubMed
    Summary

    Eagle syndrome, caused by an elongated styloid process, can mimic trigeminal neuralgia. Surgical removal of the styloid process effectively relieved facial pain in reported cases.

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    Area of Science:

    • Neurology
    • Otolaryngology
    • Surgical Anatomy

    Background:

    • Trigeminal neuralgia and glossopharyngeal neuralgia are often treated with microvascular decompression.
    • Eagle syndrome presents as atypical facial pain due to styloid process or stylohyoid ligament abnormalities.

    Observation:

    • Three cases of Eagle syndrome are presented, characterized by facial pain.
    • Patients experienced pain radiating to the orbit, maxillary region, or neck.
    • Elongated styloid processes were identified via skull films and palpation.

    Findings:

    • Diagnosis of Eagle syndrome was confirmed by symptom presentation and pain relief with local anesthetic injection.
    • Partial styloidectomy via a transoral approach resulted in complete pain relief in one patient.

    Implications:

    • Eagle syndrome should be considered in the differential diagnosis of atypical facial pain.
    • Surgical intervention, specifically styloidectomy, offers a viable treatment option for Eagle syndrome.
    • Understanding the anatomical basis of Eagle syndrome is crucial for accurate diagnosis and effective management.

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