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表现为周围性面瘫的鹰综合征

Eagle's Syndrome Presenting as Peripheral Facial Palsy.

作者信息

Nunes Filipa, Fernandes Maria João, Silva Mariana, Porteiro Beatriz, Dutschmann Rita

机构信息

Internal Medicine, Hospital Professor Doutor Fernando da Fonseca, Lisbon, PRT.

Pneumology, Hospital Professor Doutor Fernando da Fonseca, Lisbon, PRT.

出版信息

Cureus. 2022 Feb 22;14(2):e22499. doi: 10.7759/cureus.22499. eCollection 2022 Feb.

DOI:10.7759/cureus.22499
PMID:35345692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8946209/
Abstract

Eagle's syndrome (ES) is the elongation of the ossified styloid process that causes symptoms such as foreign body sensation, neck pain, and odynophagia. A styloid process greater than 25 mm in length should be considered abnormal. Facial palsy is a condition that affects the facial nerve and results in weakness or total paralysis of the facial muscles that control expression. Here, we describe a rare presentation of ES presenting as facial palsy. We present the case of a 62-year-old female who was admitted to the emergency department with right peripheral facial palsy. A computed tomography (CT) scan of the neck confirmed the diagnosis. The patient underwent conservative management and physical therapy, which resulted in good evolution with an improvement of symptoms. She was referred to the otorhinolaryngologist for surgical evaluation.

摘要

鹰综合征(ES)是指骨化的茎突延长,可引起异物感、颈部疼痛和吞咽痛等症状。茎突长度大于25mm应视为异常。面神经麻痹是一种影响面神经的疾病,可导致控制表情的面部肌肉无力或完全麻痹。在此,我们描述一例以面神经麻痹为表现的罕见的鹰综合征病例。我们报告一名62岁女性因右侧周围性面神经麻痹入住急诊科。颈部计算机断层扫描(CT)确诊。患者接受了保守治疗和物理治疗,症状得到改善,病情进展良好。她被转诊至耳鼻喉科医生处进行手术评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacd/8946209/2bc5245fd0f5/cureus-0014-00000022499-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacd/8946209/32a8ebd396ff/cureus-0014-00000022499-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacd/8946209/2bc5245fd0f5/cureus-0014-00000022499-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacd/8946209/32a8ebd396ff/cureus-0014-00000022499-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacd/8946209/2bc5245fd0f5/cureus-0014-00000022499-i02.jpg

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本文引用的文献

1
Recurrent unilateral peripheral facial palsy in a patient with an enlarged styloid process.患者茎突过长导致反复发作的单侧周围性面瘫。
Head Neck. 2019 Mar;41(3):E34-E37. doi: 10.1002/hed.25384. Epub 2018 Dec 24.
2
Eagle's syndrome: a case report and CT pictorial review.伊格尔综合征:一例病例报告及CT图像综述
Radiol Case Rep. 2018 Oct 30;14(2):141-145. doi: 10.1016/j.radcr.2018.10.008. eCollection 2019 Feb.
3
Eagle's Syndrome, from clinical presentation to diagnosis and surgical treatment: a case report.鹰综合征:从临床表现到诊断及外科治疗——病例报告
Acta Otorhinolaryngol Ital. 2018 Apr;38(2):166-169. doi: 10.14639/0392-100X-1479.
4
Eagle's syndrome with facial palsy.伴有面神经麻痹的鹰综合征
J Family Community Med. 2017 May-Aug;24(2):128-130. doi: 10.4103/jfcm.JFCM_134_16.
5
Eagle's syndrome: a review of the literature.伊格尔综合征:文献综述
Clin Anat. 2009 Jul;22(5):545-58. doi: 10.1002/ca.20804.