Concluded Case

Eagle's syndrome

32 year old female came with complaints of difficulty in swallowing with pain in the neck area. On investigation we found elongated bilateral styloid process. Case of Eagle's syndrome.

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Concluded answer

Eagle syndrome (also termed stylohyoid syndrome, styloid syndrome, styloid-stylohyoid syndrome,[or styloid–carotid artery syndrome)is a rare condition commonly characterized but not limited to sudden, sharp nerve-like pain in the jaw bone and joint, back of the throat, and base of the tongue, Triggered by swallowing, moving the jaw, or turning the neck. Since the brain to body's nerve connections pass through the neck, many seemingly random symptoms can be triggered by impingement or entanglement. It occurs due to elongation of the styloid process or calcification of the stylohyoid ligament.. In both the classic and vascular form, the treatment is surgical.. A partial styloidectomy is the preferred approach.

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Very good conclusive investigation , great , now i think this case need surgical amputation of elongated styloid processes and prognosis of surgery is excellent in eagle's syndrome Multidisciplinary approach, early indication to radiological investigation, especially MDCT of the styloid process is advisable in such cases. The elongation of the styloid process is a relatively common condition, although not all the affected patients complain of symptoms. When occurring, the diagnostic workup may be critical, since throat and neck pain, mild dysphagia and foreign body sensation in the pharynx are misleading symptoms. Otolaryngologists, neurologists and dental surgeons should be aware of the existence and incidence of this clinical entity, which is associated with a critical decay in the quality of life.

Eagle syndrome (also termed stylohyoid syndrome, styloid syndrome, styloid-stylohyoid syndrome,[or styloid–carotid artery syndrome)is a rare condition commonly characterized but not limited to sudden, sharp nerve-like pain in the jaw bone and joint, back of the throat, and base of the tongue, Triggered by swallowing, moving the jaw, or turning the neck. Since the brain to body's nerve connections pass through the neck, many seemingly random symptoms can be triggered by impingement or entanglement. It occurs due to elongation of the styloid process or calcification of the stylohyoid ligament.. In both the classic and vascular form, the treatment is surgical.. A partial styloidectomy is the preferred approach.

Knowledge about this is definitely important @Dr. Abrar Ahmed Khan . As @Dr. Dineshchandra Sharma said, it could be because of elongated styloid, or calcification of the stylohyoid ligament. On palpation, tenderness might be felt in the tonsillar bed. All patients do not have symptoms, but those that do, a Towne's view iss what we would do earlier, but a CT should be done if suspected. Surgery is the treatment of choice. Partial excision is to be done depending on the styloid length/ amount of calcification. Good case discussion @Rahul Ramakrishnan

Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Informative and educative post. Surgical intervention required to remove or correct it.

Thanks Dr Dinesh Gupta
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Very true... The length of the styoloid process here is almost 40mm bilateral.

USEFUL AND INFORMATIVE

Informative post

Informative case , As ,normal size of styloid process should be 2.5 to 3 cm. So surgical removal should be performed.

Nice post eagle syndrome