Keywords
Compartimento post-estiloideo; Compartimento pre-estiloideo; Dolor miofascial; Osificación; Ligamento; Proceso estiloideo (fuente: MeSH NLM).
How to Cite
Abstract
Eagle syndrome is a rare disease responsible for multiple head and neck symptoms, resulting from an elongation of the styloid process or ossification of the stylohyoid ligament compressing adjacent neurovascular structures. There are two variants, the classic one characterized mainly by pain and dysphagia and the carotid variant distinguished with pain and sometimes cerebral ischemia.
We describe a clinical case report of a 45-year-old female patient, who experienced left cervical pain, performing the complete myofascial pain protocol of the Regional Hospital "General Ignacio Zaragoza" ISSSTE in Mexico City, resulting in a 50 mm elongation of the styloid process in the CT scan, confirming the diagnosis, and focusing the article on the anatomical-surgical description.
References
Oueslati S., Douira W., Dhieb R., Ben Farhat L., Mnif N., Rezgui L., et al. Le syndrome de Eagle. Ann d’Oto-Laryngologie Chir Cervico-Faciale. 2006; 123, 3, 152-156. https://doi.org/10.1016/s0003-438x (06) 76657-9.
Bouguila J., Khonsari R.H., Pierrefeu A., Corre P. Eagle syndrome: A rare and atypical pain! Revue de Stomatologie et de Chirurgie Maxillo-Faciale. 2011; 112 (6): 348-352. https://doi.org/ 10.1016/j.stomax.2011.08.007.
Müderris T., Bercin S., Sevil E., Beton S., Kiris M. Surgical management of elongated styloid process: Intraoral or transcervical? Eur Arch Oto-Rhino-Laryngology. 2014; 271: 1709-1713. https://doi.org/10.1007/s00405-013-2664-0.
Naik S.M., Naik S.S. Tonsillo-styloidectomy for Eagle’s syndrome: A review of 15 cases in KVG Medical College Sullia. Oman Med J. 2011; 26 (2): 122-126. https://doi.org/10.5001/omj.2011.30.
Fusco D.J., Asteraki S., Spetzl R.F. Eagle’s syndrome: Embryology, anatomy, and clinical management. Acta Neurochirurgica. 2012; 154 (7): 1119-1126. https://doi.org/10.1007/s00701-012-1385-2.
Badhey A., Jategaonkar A., Anglin Kovacs A.J., Kadakia S., De Deyn P.P., Ducic Y., et al. Eagle syndrome: A comprehensive review. Clinical Neurology and Neurosurgery. 2017; 159: 34-38. https://doi.org/10.1016/j.clineuro.2017.04.021.
Eagle W.W. Elongated Styloid Processes: Report of Two Cases. Arch Otolaryngol - Head Neck Surg. 1937; 25(5):584-587. https://doi.org/ 10.1001/archotol.1937.00650010656008.
Lorman J.G., Biggs J.R. The eagle syndrome. Am J Roentgenol. 1983; 140 (5): 881-882. https://doi.org/10.2214/ajr.140.5.881.
Kawasaki M., Hatashima S., Matsuda T. Non-surgical therapy for bilateral glossopharyngeal neuralgia caused by Eagle’s syndrome, diagnosed by three-dimensional computed tomography: A case report. J Anesth. 2012; 26 (6): 918-921. https://doi.org/10.1007/s00540-012-1437-z.
EAGLE W.W. Symptomatic elongated styloid process; report of two cases of styloid process-carotid artery syndrome with operation. Arch Otolaryngol. 1949; 49 (5): 490-503. https://doi.org/10.1001/archotol.1949.03760110046003.
Eagle W.W. Elongated Styloid Process: Symptoms and Treatment. AMA Arch Otolaryngol. 1958; 67 (2): 172-176. https://doi.org/10.1001/archotol.1958.00730010178007.
Raina D., Gothi R., Rajan S. Eagle syndrome. Indian J Radiol Imaging. 2009; 19: 107-8. https://doi.org/10.4103/0971-3026.50826.
Costantinides F., Vidoni G., Bodin C., Di Lenarda R. Eagle’s syndrome: signs and symptoms. Cranio : the journal of craniomandibular practice. 2013; 31 (1): 56-60. https://doi.org/10.1179/crn.2013.008.
Correll R.W., Jensen J.L., Taylor J.B., Rhyne RR. Mineralization of the stylohyoid-stylomandibular ligament complex. A radiographic incidence study. Oral Surgery, Oral Med Oral Pathol. 1979; 48 (4): 286-291. https://doi.org/10.1016/0030-4220(79)90025-2.
Monsour P.A., Young W.G. Variability of the styloid process and stylohyoid ligament in panoramic radiographs. Oral Surgery, Oral Med Oral Pathol. 1986; 61 (5): 522-526. https://doi.org/10.1016/0030-4220(86)90399-3.
Montalbetti L., Ferrandi D., Pergami P., Savoldi F. Elongated styloid process and Eagle’s syndrome. Cephalalgia. 1995; 15 (2): 80-93. https://doi.org/10.1046/j.1468-2982.1995.015002080.x.
Mann A., Kujath S., Friedell M.L., Hardouin S., Wood C., Carter R., et al. Eagle Syndrome Presenting after Blunt Trauma. Ann Vasc Surg. 2017; Apr; 40: 295.e5-295.e8. https://doi.org/10.1016/j.avsg.2016.07.077
Langlais R.P., Miles D.A., Van Dis M.L. Elongated and mineralized stylohyoid ligament complex: A proposed classification and report of a case of Eagle’s syndrome. Oral Surgery, Oral Med Oral Pathol. 1986; 61 (5): 527-532. https://doi.org/10.1016/0030-4220(86)90400-7.
Loeser L.H., Cardwell E.P. Elongated Styloid Process: A Cause of Glossopharyngeal Neuralgia. Arch Otolaryngol - Head Neck Surg. 1942; 36 (2): 198-202. https://doi.org/10.1001/archotol.1942.03760020034003.
Pigache P., Fontaine C., Ferri J., Raoul G. Transcervical styloidectomy in Eagle’s syndrome. Eur Ann Otorhinolaryngol Head Neck Dis. 2018; 135 (6): 433-436. https://doi.org/10.1016/j.anorl.2018.05.001.