Eagle syndrome, which is an uncommon sequela of elongation of the styloid process, can manifest as pain in the anterolateral neck, often with referred pain to the ear. In most cases, the elongation is an acquired condition, often occurring as a result of a traumatic incident, including tonsillectomy. We describe the case of a 57-year-old man who experienced unremitting right neck pain for several years following an accidental fall. A multidisciplinary investigation identified an elongated styloid process. Surgical shortening of the structure provided definitive relief of the patient's symptoms. We review the anatomy of the peristyloid structures and discuss the etiology, diagnosis, and treatment of Eagle syndrome.
References
1.
MartinTJ, FriedlandDR, MeratiAL. Transcervical resection of the styloid process in Eagle syndrome. Ear Nose Throat J2008;87(7):399–401.
2.
MarchettiP.Anatomia Patavii1652;13:205.
3.
EagleWW. Elongated styloid process: Report of two cases. Arch Otolaryngol1937;25:584–7.
4.
EagleWW. Symptomatic elongated styloid process: Report of two cases of styloid process-carotid artery syndrome with operation. Arch Otolaryngol1949;49(5):490–503.
5.
MortellaroC, BiancucciP, PiccioloG, VercellinoV.Eagle's syndrome: Importance of a corrected diagnosis and adequate surgical treatment. J Craniofac Surg2002;13(6):755–8.
6.
MasseyEWFacial pain from an elongated styloid process (Eagle's syndrome). South Med J1978;71(9):1156–9.
7.
HärmäR.Stylalgia: Clinical experiences of 52 cases. Acta Otolaryngol1966; Suppl 224:149+.
8.
MurtaghRD, CaraccioloJT, FernandezG.CT findings associated with Eagle syndrome. Am J Neuroradiol2001;22(7):1401–2.
9.
FiniG, GaspariniG, FilippiniF, The long styloid process syndrome or Eagle's syndrome. J Craniomaxillofac Surg2000;28(2):123–7.
10.
SlavinKV. Eagle syndrome: Entrapment of the glossopharyngeal nerve? Case report and review of the literature. J Neurosurg2002; 97(1):216–18.
11.
PrasadKC, KamathMP, ReddyKJ, Elongated styloid process (Eagle's syndrome): A clinical study. J Oral Maxillofac Surg2002; 60(2):171–5.
12.
BafaqeehSA. Eagle syndrome: Classic and carotid artery types. J Otolaryngol2000;29(2):88–94.
