Uludağ İrem Fatma, Öcek Levent, Zorlu Yaşar, Uludağ Burhanettin
Department of Neurology, İzmir Tepecik Training and Research Hospital, İzmir, Turkey.
Agri. 2013;25(2):87-9. doi: 10.5505/agri.2013.26779.
Eagle syndrome is an aggregate of symptoms caused by an elongated styloid process, most frequently resulting in headache, facial pain, dysphagia and sensation of foreign body in throat. The proper diagnosis is not difficult with clinical history, physical examination and radiographic assessment if there is a sufficient degree of suspicion. The treatment is very effective. We report here a typical case of Eagle syndrome which was misdiagnosed as trigeminal neuralgia for many years and was treated with carbamazepine. We aim to point the place of Eagle syndrome in the differential diagnosis of facial pain. We also re-emphasize the usefulness of the three-dimensional computed tomography in the diagnosis of Eagle syndrome. Even though Eagle syndrome is a rare condition, in cases of facial pain refractory to treatment or unexplained complaints of the head and neck region, it should be considered in the differential diagnosis as it has therapeutic consequences.
鹰综合征是由茎突过长引起的一组症状,最常见的症状是头痛、面部疼痛、吞咽困难和咽部异物感。如果有足够的怀疑程度,通过临床病史、体格检查和影像学评估进行正确诊断并不困难。治疗非常有效。我们在此报告一例典型的鹰综合征病例,该病例多年来被误诊为三叉神经痛并接受了卡马西平治疗。我们旨在指出鹰综合征在面部疼痛鉴别诊断中的位置。我们还再次强调三维计算机断层扫描在鹰综合征诊断中的有用性。尽管鹰综合征是一种罕见疾病,但在治疗难治性面部疼痛或头颈部不明原因症状的病例中,由于其具有治疗意义,应在鉴别诊断中予以考虑。