Kumar Pradeep, Rayamane Anand P, Subbaramaiah Mouna
Department of Forensic Medicine and Toxicology, RajaRajeswari Medical College & Hospital, Bangalore, Karnataka, India.
Am J Forensic Med Pathol. 2013 Sep;34(3):231-3. doi: 10.1097/PAF.0b013e3182a186e1.
Eagle syndrome represents symptoms manifested by compression of regional structures by elongation of the styloid process or ossification of the stylohyoid membrane. Various theories have been put forward toward the development of Eagle syndrome. Depending on the underlying pathogenetic mechanism and the anatomical structures compressed or irritated by the elongated styloid process, symptoms vary greatly, ranging from cervicofacial pain to cerebral ischemia. Because the symptoms are variable and nonspecific, patients land up in different clinics for treatment. In the present case, the victim had previous episode of unconsciousness along with frequent headache for which she visited various clinics on numerous occasions. The elongated styloid process was appreciated during the postmortem examination, and the diagnosis of sudden death due to mechanical irritation of the carotid sinus by elongated styloid process was made as the sign of acute cardiovascular failure was present and upon exclusion of other causes of death.
鹰综合征表现为茎突延长或茎突舌骨膜骨化压迫局部结构所呈现的症状。针对鹰综合征的发病机制，人们提出了各种理论。根据潜在的发病机制以及被延长的茎突压迫或刺激的解剖结构不同，症状差异很大，从颈面部疼痛到脑缺血不等。由于症状多变且不具特异性，患者会辗转于不同科室进行治疗。在本病例中，受害者曾有过意识丧失发作并伴有频繁头痛，为此她多次前往不同科室就诊。尸检时发现茎突延长，鉴于存在急性心血管衰竭的体征且排除了其他死因，故诊断为延长的茎突机械性刺激颈动脉窦导致猝死。
