Department of Emergency Medicine, Akron General Medical Center, Akron, OH 44307, USA.
Emergency Department Research, Akron General Medical Center, Akron, OH 44307, USA.
Am J Emerg Med. 2014 Jan;32(1):112.e1-2. doi: 10.1016/j.ajem.2013.08.043. Epub 2013 Sep 27.
We present a case of Eagle syndrome in a 77-year-old woman with associated aneurysm and nontraumatic styloid process fracture, without history of tonsillectomy, who presented to the emergency department. The first set of symptoms associated with the elongation of the temporal styloid process and/or the calcification of the stylomandibular or stylohyoid ligaments was described by Eagle in 1937. Classically, unilateral pain in the oropharynx radiating to the neck and face that is exacerbated by head turning and neck rotation is characteristic of Eagle syndrome. However, styloid process elongation and stylohyoid calcification found in Eagle syndrome may also present with vascular symptomsthrough impingement and injury of the carotid arteries. Eagle syndrome is a rare but important differential that the emergency physician must consider in a patient with unilateral neck pain and positional neurological symptoms with head turning and in posttonsillectomy patients. Patients with medical history of Eagle syndrome presenting with neck pain and especially neurological symptomsmust be thoroughly evaluated for carotid and jugular venous injury. Specifically, the decision to obtain computed tomography and computed tomographic angiography to evaluate for carotid artery injury is important for patient management and disposition.
我们报告了一例 77 岁女性的鹰综合征病例，该患者伴有动脉瘤和非创伤性茎突骨折，无扁桃体切除术史，因急症就诊。Eagle 于 1937 年首次描述了与颞骨茎突延长和/或髁突下颌骨或茎突舌骨韧带钙化相关的一组症状。典型的鹰综合征表现为单侧咽疼痛放射至颈部和面部，头部转动和颈部旋转时加重。然而，鹰综合征中发现的茎突延长和茎突舌骨钙化也可能通过颈动脉的压迫和损伤而出现血管症状。鹰综合征是一种罕见但重要的鉴别诊断，急诊医生必须在单侧颈部疼痛和头部转动时出现位置性神经症状的患者中考虑到这一诊断。有鹰综合征病史的患者出现颈部疼痛，特别是出现神经症状时，必须彻底评估颈动脉和颈静脉损伤。具体来说，决定是否进行计算机断层扫描和计算机断层血管造影以评估颈动脉损伤对于患者的管理和处置非常重要。
