Cervicofacial pain associated with Eagle’s syndrome misdiagnosed as trigeminal neuralgia

Background Eagle’s syndrome is characterized by the symptoms of recurrent throat pain, pharyngeal foreign body sensation, dysphagia, referred otalgia, and neck pain. The treatment for Eagle´s syndrome can be pharmacologically, surgically, or both. The surgical management consists of two major proced...

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Bibliographic Details
Published in:	Oral and maxillofacial surgery Vol. 16; no. 2; pp. 207 - 210
Main Authors:	Mayrink, Gabriela, Figueiredo, Evandro Portela, Sato, Fabio Ricardo Loureiro, Moreira, Roger William Fernandes
Format:	Journal Article
Language:	English
Published:	Berlin/Heidelberg Springer-Verlag 01-06-2012 Springer Nature B.V
Subjects:	Case Report Dentistry Diagnostic Errors Facial Pain - etiology Facial Pain - surgery Humans Image Interpretation, Computer-Assisted Imaging, Three-Dimensional Male Medicine Medicine & Public Health Middle Aged Neck Pain - etiology Neck Pain - surgery Oral and Maxillofacial Surgery Ossification, Heterotopic - diagnosis Ossification, Heterotopic - surgery Temporal Bone - abnormalities Temporal Bone - surgery Temporomandibular Joint Disorders - etiology Temporomandibular Joint Disorders - surgery Tomography, X-Ray Computed Trigeminal Neuralgia - diagnosis Trigeminal Neuralgia - surgery Neck pain Eagle’s syndrome Elongated styloid process
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Summary:	Background Eagle’s syndrome is characterized by the symptoms of recurrent throat pain, pharyngeal foreign body sensation, dysphagia, referred otalgia, and neck pain. The treatment for Eagle´s syndrome can be pharmacologically, surgically, or both. The surgical management consists of two major procedures: the transoral approach or the extraoral–cervical approach. Case Report A 64-year-old patient with a severe cervical pain on the left side was evaluated with no defined diagnosis. During physical examination, an elongated styloid process could be palpated and with CT scan image, the Eagle´s syndrome diagnosis was done. The patient was successfully submitted to surgical resection of the elongated styloid process on the left side by an extraoral–cervical approach. After 6 months follow-up, the patient referred no symptom after the surgical treatment. Conclusion The extraoral/cervical approach is a safe alternative that achieves adequate treatment of Eagle’s syndrome.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1865-1550 1865-1569
DOI:	10.1007/s10006-011-0276-7