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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| Published in: | Oral and maxillofacial surgery Vol. 16; no. 2; pp. 207 - 210 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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01-06-2012
Springer Nature B.V |
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| Abstract | 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. |
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| AbstractList | 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. 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. 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. The extraoral/cervical approach is a safe alternative that achieves adequate treatment of Eagle's syndrome. BACKGROUNDEagle'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 REPORTA 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. CONCLUSIONThe extraoral/cervical approach is a safe alternative that achieves adequate treatment of Eagle's syndrome. 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. 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. The extraoral/cervical approach is a safe alternative that achieves adequate treatment of Eagle's syndrome.[PUBLICATION ABSTRACT] |
| Author | Sato, Fabio Ricardo Loureiro Moreira, Roger William Fernandes Figueiredo, Evandro Portela Mayrink, Gabriela |
| Author_xml | – sequence: 1 givenname: Gabriela surname: Mayrink fullname: Mayrink, Gabriela organization: Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, Campinas State University-Unicamp – sequence: 2 givenname: Evandro Portela surname: Figueiredo fullname: Figueiredo, Evandro Portela organization: Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, Campinas State University-Unicamp – sequence: 3 givenname: Fabio Ricardo Loureiro surname: Sato fullname: Sato, Fabio Ricardo Loureiro organization: Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, Campinas State University-Unicamp – sequence: 4 givenname: Roger William Fernandes surname: Moreira fullname: Moreira, Roger William Fernandes email: roger@fop.unicamp.br organization: Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, Campinas State University-Unicamp |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21720752$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1177_0333102414541686 crossref_primary_10_1051_mbcb_2016003 crossref_primary_10_1016_j_ijom_2015_03_021 crossref_primary_10_1097_SCS_0000000000005979 crossref_primary_10_5624_isd_2018_48_1_67 crossref_primary_10_7717_peerj_17423 crossref_primary_10_1016_j_clinimag_2014_11_016 crossref_primary_10_1016_j_legalmed_2018_02_003 crossref_primary_10_1186_s13256_017_1464_3 crossref_primary_10_1186_1746_160X_10_5 crossref_primary_10_17126_joralres_2016_054 crossref_primary_10_4236_ijohns_2023_126044 |
| Cites_doi | 10.1001/archotol.1937.00650010656008 10.1016/S0940-9602(01)80060-1 10.1097/00001665-200211000-00007 10.1053/joms.2002.29814 10.1016/0030-4220(85)90183-5 10.1055/s-0028-1086057 10.1016/S0901-5027(05)80398-4 10.1002/ca.20804 10.1016/0030-4220(78)90378-X 10.1001/archotol.1948.00690030654006 10.1016/j.bjoms.2008.06.007 10.1016/j.joms.2005.12.063 10.1017/S0022215100145402 10.1016/j.joms.2005.08.017 |
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| References | Piagkou, Anagnostopoulou, Kouladouros, Piagkos (CR1) 2009; 22 Eagle (CR3) 1948; 47 Baddour, McAnear, Tilson (CR16) 1978; 46 Gozil, Yener, Calguner, Arac, Tunc, Bahceliogiu (CR4) 2001; 183 Mortellaro, Bianucci, Picciolo, Vercellino (CR6) 2002; 6 Prasad, Kamath, Reddy, Raju, Agarwal (CR13) 2002; 60 Murthy, Hezerika, Mary Mahai, Kummer, Kenneth (CR8) 1990; 19 Beder, Ozgursoy, Ozgursoy (CR7) 2005; 63 Chuang, Short, McKinney, Anker, Knoll, McKinney (CR14) 2007; 28 Correll, Jensen, Taylor, Rhyne (CR15) 1979; 95 Ceylan, Koybasioglu, Celenk, Yilmaz, Uslu (CR5) 2008; 18 Blomgren, Qvarnberg, Valtonen (CR9) 1999; 113 Chole, Patil, Degwekar, Bhowate (CR12) 2007; 65 McLeod, Tekeli, Cheriyan (CR11) 2009; 47 Sivers, Johnson, Lincoln (CR17) 1985; 59 Eagle (CR2) 1937; 25 Bartoni, Charlton (CR10) 2001; 49 19418452 - Clin Anat. 2009 Jul;22(5):545-58 19240828 - Skull Base. 2008 Sep;18(5):289-95 17213444 - AJNR Am J Neuroradiol. 2007 Jan;28(1):143-5 3859818 - Oral Surg Oral Med Oral Pathol. 1985 Jun;59(6):575-7 17174762 - J Oral Maxillofac Surg. 2007 Jan;65(1):40-5 10664695 - J Laryngol Otol. 1999 Sep;113(9):854-5 11766524 - Ann Anat. 2001 Nov;183(6):527-35 280844 - Oral Surg Oral Med Oral Pathol. 1978 Oct;46(4):486-94 12017796 - Gen Dent. 2001 Sep-Oct;49(5):512-5 18675495 - Br J Oral Maxillofac Surg. 2009 Jan;47(1):42-5 2120364 - Int J Oral Maxillofac Surg. 1990 Aug;19(4):230-1 11815916 - J Oral Maxillofac Surg. 2002 Feb;60(2):171-5 16297695 - J Oral Maxillofac Surg. 2005 Dec;63(12 ):1742-5 116179 - Oral Surg Oral Med Oral Pathol. 1979 Oct;48(4):286-91 18894764 - Arch Otolaryngol. 1948 May;47(5):630-40 12457088 - J Craniofac Surg. 2002 Nov;13(6):755-8 P Murthy (276_CR8) 1990; 19 RW Correll (276_CR15) 1979; 95 W Eagle (276_CR3) 1948; 47 M Piagkou (276_CR1) 2009; 22 W Eagle (276_CR2) 1937; 25 JE Sivers (276_CR17) 1985; 59 K Blomgren (276_CR9) 1999; 113 WC Chuang (276_CR14) 2007; 28 A Ceylan (276_CR5) 2008; 18 KC Prasad (276_CR13) 2002; 60 HM Baddour (276_CR16) 1978; 46 E Beder (276_CR7) 2005; 63 NMH McLeod (276_CR11) 2009; 47 R Gozil (276_CR4) 2001; 183 JA Bartoni (276_CR10) 2001; 49 R Chole (276_CR12) 2007; 65 C Mortellaro (276_CR6) 2002; 6 |
| References_xml | – volume: 25 start-page: 584 year: 1937 end-page: 587 ident: CR2 article-title: Elongated styloid process: report of two cases publication-title: Arch Otolaryngol doi: 10.1001/archotol.1937.00650010656008 contributor: fullname: Eagle – volume: 95 start-page: 11 year: 1979 end-page: 13 ident: CR15 article-title: Mineralization of the stylohyoid-stylomandibular ligament complex. A radiographic incidence study publication-title: Oral Surg Oral Med Oral Pathol contributor: fullname: Rhyne – volume: 183 start-page: 527 year: 2001 end-page: 535 ident: CR4 article-title: Morphological characteristics of styloid process evaluated by computer axial tomography publication-title: Ann Anat doi: 10.1016/S0940-9602(01)80060-1 contributor: fullname: Bahceliogiu – volume: 6 start-page: 755 year: 2002 end-page: 758 ident: CR6 article-title: Eagle’s syndrome: importance of a corrected diagnosis and adequate surgical treatment publication-title: J Craniofac Surg doi: 10.1097/00001665-200211000-00007 contributor: fullname: Vercellino – volume: 49 start-page: 512 year: 2001 end-page: 515 ident: CR10 article-title: Stylohyoid syndrome: a case report publication-title: Gen Dent contributor: fullname: Charlton – volume: 60 start-page: 171 year: 2002 end-page: 175 ident: CR13 article-title: Elongated styloid process (Eagle’s syndrome): a clinical study publication-title: J Oral 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end-page: 494 ident: CR16 article-title: The Eagle’s syndrome: report of a case publication-title: Oral Surg Oral Med Oral Pathol doi: 10.1016/0030-4220(78)90378-X contributor: fullname: Tilson – volume: 47 start-page: 630 issue: 5 year: 1948 end-page: 640 ident: CR3 article-title: Elongated styloid process: further observations and a new syndrome publication-title: Arch Otolaryngol doi: 10.1001/archotol.1948.00690030654006 contributor: fullname: Eagle – volume: 47 start-page: 42 year: 2009 end-page: 45 ident: CR11 article-title: Trigeminal neuralgia: assessment and management by oral and maxillofacial surgeons in the United Kingdom publication-title: Br J Oral Maxillofac Surg doi: 10.1016/j.bjoms.2008.06.007 contributor: fullname: Cheriyan – volume: 65 start-page: 40 year: 2007 end-page: 45 ident: CR12 article-title: Drug treatment of trigeminal neuralgia: a systematic review of the literature publication-title: J Oral Maxillofac Surg doi: 10.1016/j.joms.2005.12.063 contributor: fullname: Bhowate – volume: 28 start-page: 143 year: 2007 end-page: 145 ident: CR14 article-title: Reversible left hemispheric ischemia secondary to carotid compression in Eagle’s syndrome: surgical and CT angiographic correlation publication-title: AJNR Am J Neuroradiol contributor: fullname: McKinney – volume: 113 start-page: 854 year: 1999 end-page: 855 ident: CR9 article-title: Spontaneous fracture of an ossified stylohyoid ligament publication-title: J Laryngol Otol doi: 10.1017/S0022215100145402 contributor: fullname: Valtonen – volume: 63 start-page: 1742 year: 2005 end-page: 1745 ident: CR7 article-title: Current diagnosis and transoral surgical treatment of Eagle’s syndrome publication-title: J Oral Maxillofac Surg doi: 10.1016/j.joms.2005.08.017 contributor: fullname: Ozgursoy – volume: 95 start-page: 11 year: 1979 ident: 276_CR15 publication-title: Oral Surg Oral Med Oral Pathol contributor: fullname: RW Correll – volume: 6 start-page: 755 year: 2002 ident: 276_CR6 publication-title: J Craniofac Surg doi: 10.1097/00001665-200211000-00007 contributor: fullname: C Mortellaro – volume: 63 start-page: 1742 year: 2005 ident: 276_CR7 publication-title: J Oral Maxillofac Surg doi: 10.1016/j.joms.2005.08.017 contributor: fullname: E Beder – volume: 65 start-page: 40 year: 2007 ident: 276_CR12 publication-title: J Oral Maxillofac Surg doi: 10.1016/j.joms.2005.12.063 contributor: fullname: R Chole – volume: 49 start-page: 512 year: 2001 ident: 276_CR10 publication-title: Gen Dent contributor: fullname: JA Bartoni – volume: 28 start-page: 143 year: 2007 ident: 276_CR14 publication-title: AJNR Am J Neuroradiol contributor: fullname: WC Chuang – volume: 22 start-page: 548 year: 2009 ident: 276_CR1 publication-title: Clin Anat doi: 10.1002/ca.20804 contributor: fullname: M Piagkou – volume: 18 start-page: 289 year: 2008 ident: 276_CR5 publication-title: Skull Base doi: 10.1055/s-0028-1086057 contributor: fullname: A Ceylan – volume: 47 start-page: 630 issue: 5 year: 1948 ident: 276_CR3 publication-title: Arch Otolaryngol doi: 10.1001/archotol.1948.00690030654006 contributor: fullname: W Eagle – volume: 113 start-page: 854 year: 1999 ident: 276_CR9 publication-title: J Laryngol Otol doi: 10.1017/S0022215100145402 contributor: fullname: K Blomgren – volume: 183 start-page: 527 year: 2001 ident: 276_CR4 publication-title: Ann Anat doi: 10.1016/S0940-9602(01)80060-1 contributor: fullname: R Gozil – volume: 47 start-page: 42 year: 2009 ident: 276_CR11 publication-title: Br J Oral Maxillofac Surg doi: 10.1016/j.bjoms.2008.06.007 contributor: fullname: NMH McLeod – volume: 59 start-page: 575 year: 1985 ident: 276_CR17 publication-title: Oral Med Oral Surg Oral Pathol doi: 10.1016/0030-4220(85)90183-5 contributor: fullname: JE Sivers – volume: 46 start-page: 486 year: 1978 ident: 276_CR16 publication-title: Oral Surg Oral Med Oral Pathol doi: 10.1016/0030-4220(78)90378-X contributor: fullname: HM Baddour – volume: 25 start-page: 584 year: 1937 ident: 276_CR2 publication-title: Arch Otolaryngol doi: 10.1001/archotol.1937.00650010656008 contributor: fullname: W Eagle – volume: 19 start-page: 230 year: 1990 ident: 276_CR8 publication-title: Int J Maxillofac Surg doi: 10.1016/S0901-5027(05)80398-4 contributor: fullname: P Murthy – volume: 60 start-page: 171 year: 2002 ident: 276_CR13 publication-title: J Oral Maxillofac Surg doi: 10.1053/joms.2002.29814 contributor: fullname: KC Prasad |
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| Snippet | Background
Eagle’s syndrome is characterized by the symptoms of recurrent throat pain, pharyngeal foreign body sensation, dysphagia, referred otalgia, and neck... Eagle's syndrome is characterized by the symptoms of recurrent throat pain, pharyngeal foreign body sensation, dysphagia, referred otalgia, and neck pain. The... BACKGROUNDEagle's syndrome is characterized by the symptoms of recurrent throat pain, pharyngeal foreign body sensation, dysphagia, referred otalgia, and neck... |
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| SubjectTerms | 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 |
| Title | Cervicofacial pain associated with Eagle’s syndrome misdiagnosed as trigeminal neuralgia |
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