Sasmita Poppy Kristina, Uinarni Herlina, Sugiharto Liliana
Department of Anatomy, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jl. Pluit Raya No. 2, Jakarta, 14440 Indonesia.
Neurologist at Mitra Keluarga Kelapa Gading Hospital, Jakarta, Indonesia.
Radiol Case Rep. 2023 Jun 23;18(9):3105-3108. doi: 10.1016/j.radcr.2023.06.030. eCollection 2023 Sep.
Eagle's syndrome, or ES, is associated with the elongation of the styloid process and partial or complete mineralization of the stylohyoid ligament. Clinically, the symptoms of ES are characterized by sore throat, neck pain radiating to the ear, dysphagia, and a foreign body sensation when swallowing, resulting from disruption of the neck or pharyngeal region. This report describes 3 male patients (40, 60, and 43 years old) with neck discomfort. These patients were inadvertently diagnosed with ES using multidetector computer tomography and 3-dimensional volumetric computed tomography (MDCT-3D CT). The length of the left styloid process in the first case was 42 mm. In the second case, the size of the right styloid process was 53 mm. In the last case, the length of the right styloid process was 41 mm, while the left side was 43 mm. This syndrome should always be suspected when pain is unilateral and unresponsive to analgesics, mainly in women. Diagnosis requires appropriate examination through radiological examination, special techniques, and experiences. We aim to present and re-emphasize the consideration of a differential diagnosis of ES for diagnosticians.
鹰钩综合征（ES）与茎突延长及茎突舌骨韧带部分或完全矿化有关。临床上，ES的症状表现为咽痛、颈部疼痛放射至耳部、吞咽困难以及吞咽时有异物感，这些症状是由颈部或咽部区域的病变引起的。本报告描述了3例有颈部不适的男性患者（年龄分别为40岁、60岁和43岁）。这些患者通过多排螺旋计算机断层扫描和三维容积计算机断层扫描（MDCT - 3D CT）被意外诊断为ES。第一例患者左侧茎突长度为42毫米。第二例患者右侧茎突大小为53毫米。最后一例患者右侧茎突长度为41毫米，左侧为43毫米。当疼痛为单侧且对镇痛药无反应时，应始终怀疑该综合征，主要见于女性。诊断需要通过放射学检查、特殊技术及经验进行适当检查。我们旨在为诊断医生展示并再次强调对ES进行鉴别诊断的考量。
