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Eagle SyndromeClinical History: Patient presented with pain in the anterolateral neck, ear, dysphagia and voice changes. Findings: The radiograph demonstrates an bilateral elongated styloid processes. Diagnosis: Eagle Syndrome, Elongated styloid process. Discussion: Eagle syndrome is a relatively rare disorder characterized by a calcified stylohyoid ligament or elongated styloid process resulting in multitude of otolaryngological symptoms. Eagle syndrome derives it name from Watt Weems Eagle an Amercian Otolaryngologist who was born in 1898. He first published his data in 1937 with a series of 200 patients presenting with symptoms related to a calcified stylohyoid ligament or elongated styloid process. These symptoms include a pharyngeal foreign body sensation, dysphagia, pain on head rotation, otalgia, dizziness and headaches. The symptoms are attributed to impingement of the glossopharyngeal nerve as it runs close to the styloid process and calcified ligament.1 An elongated or calcified stylohyoid ligament does not necessarily indicate Eagle syndrome. The diagnosis is made on the basis of history and exacerbation of pain on palpation of the tonsillar fossa. Another test of diagnostic, and therapeutic benefit, is that of injecting local anaesthetic into the tonsillar fossa, resulting in diminished symptoms. References / Suggested Reading: 1. Luis Balbuena, Jr., David Hayes, Sylvester G. Ramirez, and Robert Johnson. Eagle's Syndrome (Elongated Styloid Process). Southern Medical Journal. 1997; March. (s) 2. Nickel J, Sonnenburg M, Scheufler O, Andresen R. [Eagle syndrome: diagnostic imaging and therapy]. Rontgenpraxis. 2003;55:108-13. (s)
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Excellent case. This disease entity is rare but important to recognize.
Dr. Vikram Singh Dogra
Professor of Radiology, Urology & BME
Associate Chair for Education and Research.
Department of Imaging Sciences
University of Rochester School of Medicine