Ideally, patients who choose this course of treatment will eventually receive surgery to correct the issue permanently. This means that the affected person may still be at a higher risk for stroke than the average person. It is often an effective treatment, but it does not correct the anatomical differences that cause the person’s Eagle syndrome in the first place. Medication keeps the symptoms of Eagle syndrome under control and minimizes their impact on the patient’s life. Depending on your needs, your doctor might prescribe one or more of the following medications: If surgery is not an option, the symptoms of Eagle syndrome can also be managed with medications. It is the preferred course of treatment and the only way to lower the chances of stroke or carotid artery dissection. Surgery typically cures all symptoms of Eagle syndrome. More research is needed to identify the exact causes of Eagle syndrome.Įagle syndrome is usually treated with a styloidectomy (removal of some of the styloid bone) to correct the size of the styloid process. Physical trauma also seems to play a role. These findings suggest that genetics may play a critical role in the development of this disease, but this is not confirmed. The classic styloid syndrome was believed to be caused by. People with African heritage are also slightly more likely to be affected. Eagle originally described two distinct syndromes: the classic styloid and carotid artery syndromes. Women ages 30 to 60 are slightly more likely to develop Eagle syndrome. While about 4 percent of the population has an elongated styloid process, not all of these people develop Eagle syndrome. However, they do know that people who have these physical features do not necessarily also have Eagle syndrome. Scientists do not currently know what causes either of these underlying issues. When this happens, the artery becomes compressed, and the surrounding area can become inflamed. It occurs when these bone and ligament problems create abnormal pressure on the carotid artery (the thick main artery inside your neck). Vascular Eagle syndrome is a variant of standard Eagle syndrome. It lies caudally, medially, and anteriorly toward the. The styloid process is a slender outgrowth at the base of the temporal bone, immediately posterior to the mastoid apex. Medical treatment represents the first choice, followed by surgical styloid process resection, in the case of persistence or ingravescence of the complaint.Eagle Syndrome is caused by either an abnormally long styloid process (a small bone located just under the ear) or a calcified stylohyoid ligament (a neck ligament that has become thick and inflexible due to calcium buildup). Eagle syndrome is characterized by recurrent pain in the oropharynx and face due to an elongated styloid process or calcified stylohyoid ligament. In conclusion, a precise differential diagnosis is crucial in order to choose the most adequate treatment, which can be either surgical or non surgical. After 6 months she had no recurrence of symptoms. She underwent a non-steroidal anti-inflammatory local treatment, with progressive disappearance of symptoms. The patient refused surgical treatment as first choice. A lateral radiograph and a computed tomography scan of head and neck showed an elongated styloid process of 57 mm on the left side and 48 mm on the right one. Differential diagnosis Differentials included head and neck neoplasm, temporomandibular joint disorder, sinusitis, tonsillitis, lymphoma, esophageal diverticula, and carotid artery aneurysm. A surgical technique should be advanced to treat Eagle syndrome. A bony projection was palpable with bimanual transoral exploration. Eagle syndrome should be considered as a differential diagnosis in carotid bleeding. In his subsequent studies, Eagle classified the styloid syndrome into two types according to the symptoms ( 2, 3 ). We report a case of a 49-year-old lady with a 1-year history of oro-pharyngeal foreign body sensation localized at the left tonsillar fossa, associated with a dull intermittent pain. In 1937, Eagle reported that elongation or calcification of the attachment ligament of the styloid process can lead to a series of clinical symptoms, otherwise known as styloid syndrome (also known as Eagle syndrome) ( 1 ). In about 4% of general population an elongated styloid process occurs, while only about 4% of these patients are symptomatic. ES is characterized by an aspecific orofacial pain secondary to calcification of the stylohyoid ligament or elongated styloid process. We report a case of an adult woman with an Eagle’s Syndrome (ES) treated with medical therapy.
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