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茎突过长综合征引起的耳后疼痛:一种因茎突过长压迫导致的罕见表现。

Retroauricular pain caused by Eagle syndrome: A rare presentation due to compression by styloid process elongation.

作者信息

Paiva Aline Lariessy Campos, Araujo João Luiz Vitorino, Lovato Renan Maximilian, Teixeira Joel Augusto Ribeiro, Miura Flávio Key, Guirado Vinicius Monteiro de Paula, Veiga José Carlos Esteves

机构信息

Neurosurgery Resident at Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.

Assistant Neurosurgeon at FCMSCSP and Arnaldo Vieira de Carvalho Cancer Institute. Neurosurgeon at Hospital Oswaldo Cruz, São Paulo, SP, Brazil.

出版信息

Rev Assoc Med Bras (1992). 2017 Mar;63(3):213-214. doi: 10.1590/1806-9282.63.03.213.

Abstract

Eagle syndrome is a rare condition presenting with retroauricular pain (usually as main symptom) associated with dysphagia, headache, neck pain on rotation and, much rarelier, stroke. This occurs due to styloid process elongation. Sometimes, there is also styloid ligament calcification, which can cause compression of nerves and arteries and the symptoms above. Treatment can be conservative with pain modulators (e.g. pregabalin) or infiltrations (steroids or anesthetics drugs). In refractory cases, surgical approach aiming to reduce the size of the styloid process can be performed. We present a rare case of Eagle syndrome (documented by computed tomography) with good response to clinical treatment.

摘要

鹰综合征是一种罕见疾病,表现为耳后疼痛(通常为主要症状),伴有吞咽困难、头痛、颈部旋转时疼痛,更罕见的是中风。这是由于茎突过长所致。有时还会出现茎突韧带钙化,可导致神经和动脉受压并引发上述症状。治疗可采用保守方法,使用疼痛调节剂(如普瑞巴林)或进行局部浸润(使用类固醇或麻醉药物)。在难治性病例中,可采用旨在缩小茎突尺寸的手术方法。我们报告一例罕见的鹰综合征病例(经计算机断层扫描证实),对临床治疗反应良好。

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