Badhey Arvind, Jategaonkar Ameya, Anglin Kovacs Alexander Joseph, Kadakia Sameep, De Deyn Peter Paul, Ducic Yadranko, Schantz Stimson, Shin Edward
Department of Otolaryngology-Head and Neck Surgery, The New York Eye and Ear Infirmary of Mount Sinai, New York, NY, United States.
Department of Otolaryngology-Head and Neck Surgery, University of Arizona College of Medicine, Phoenix, AZ, United States.
Clin Neurol Neurosurg. 2017 Aug;159:34-38. doi: 10.1016/j.clineuro.2017.04.021. Epub 2017 May 6.
The objective of this report is to summarize the symptoms, diagnostic workup, necessary imaging, and management of Eagle syndrome. A comprehensive literature review was conducted on peer-reviewed publications of Eagle syndrome across multiple disciplines in order to gain a thorough understanding of the presentation, diagnosis, and management of this disorder. Diagnoses of Eagle Syndrome have increased, in part due to the awareness of physicians to patient symptomatology. While cervical pain and dysphagia are among the typical symptoms, patients can present with a wide spectrum of benign and dangerous symptoms. CT scan is the gold standard for diagnosis and can be aided by both 3D reconstructive imaging and Angiography. Treatment strategies include medical management (analgesics, corticosteroids, antidepressants, and anticonvulsants) and varied surgical approaches (extraoral, transoral, endoscopic assisted). Increased understanding by providers treating patients with Eagle Syndrome allows for a more comprehensive treatment plan. With a variety of medical regimens and more definitive surgical approaches, Eagle Syndrome can be treated safely and effectively.
本报告的目的是总结鹰综合征的症状、诊断检查、必要的影像学检查及治疗方法。我们对多学科领域经同行评审的有关鹰综合征的出版物进行了全面的文献综述,以便深入了解该疾病的表现、诊断和治疗。鹰综合征的诊断有所增加,部分原因是医生对患者症状的认识提高。虽然颈部疼痛和吞咽困难是典型症状,但患者可能会出现各种各样的良性和危险症状。CT扫描是诊断的金标准,三维重建成像和血管造影可辅助诊断。治疗策略包括药物治疗(镇痛药、皮质类固醇、抗抑郁药和抗惊厥药)和多种手术方法(口外、经口、内镜辅助)。治疗鹰综合征的医护人员对该病的了解增加,有助于制定更全面的治疗方案。有了各种医疗方案和更明确的手术方法,鹰综合征可以得到安全有效的治疗。