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Eagle syndrome
From Wikipedia, the free encyclopedia
eMedicine article/1447247
(http://emedicine.medscape.com
Contents /article/1447247-overview)
1 Symptoms
2 Diagnosis
3 Treatment
4 History
5 References
Symptoms
Patients with the classic "Eagle Syndrome" can present with unilateral sore throat, dysphagia, tinnitus, unilateral
facial and neck pain, and otalgia.
In patients with the vascular form of "Eagle syndrome", the elongated styloid process is in contact with the
extracranial internal carotid artery. This can cause a compression (while turning the head) or a dissection of the
carotid artery causing a transient ischemic event or a stroke.
Diagnosis
Diagnosis is suspected when a patient presents with the symptoms of the classic form of "eagle syndrome" e.g.
unilateral neck pain, sore throat or tinnitus. On the exam, one can sometimes palpate the tip of the styloid
process in the back of the throat. The diagnosis of the vascular type is more difficult and requires an expert
opinion. One should have a high level of suspicion when neurological symptoms occurs upon head rotation.
Imaging is important and is diagnostic. Visualizing the styloid process on a CT scan with 3D reconstruction is the
suggested imaging technique.[1]
Treatment
In both the classic and vascular form, the treatment is surgical.[2] A partial styloidectomy is the preferred
approach. Repair of a damaged carotid artery is essential in order prevent further neurological complications.
History
The condition was first described by the American otorhinolaryngologist Watt Weems Eagle in 1937.[3]
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Eagle syndrome - Wikipedia, the free encyclopedia http://en.wikipedia.org/wiki/Eagle_syndrome
References
1. ^ Karam C, Koussa S (December 2007). "[Eagle 2. ^ Orhan KS, Güldiken Y, Ural HI, Cakmak A (April
syndrome: the role of CT scan with 3D 2005). "[Elongated styloid process (Eagle's
reconstructions (http://www.em-consulte.com/article syndrome): literature review and a case report]" (in
/133295) "] (in French). J Neuroradiol 34 (5): Turkish). Agri 17 (2): 23–5. PMID 15977090
344–5. doi:10.1016/j.neurad.2007.08.001 (http://www.ncbi.nlm.nih.gov/pubmed/15977090) .
(http://dx.doi.org/10.1016%2Fj.neurad.2007.08.001) 3. ^ Eagle's syndrome (Watt Weems Eagle)
. PMID 17997158 (http://www.ncbi.nlm.nih.gov (http://www.whonamedit.com/SYND.cfm/3323.html)
/pubmed/17997158) . http://www.em-consulte.com at Who Named It?
/article/133295.
Retrieved from "http://en.wikipedia.org/wiki/Eagle_syndrome"
Categories: Oral pathology | Disease stubs
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