01-06-2012 | Case Report
Cervicofacial pain associated with Eagle’s syndrome misdiagnosed as trigeminal neuralgia
Published in: Oral and Maxillofacial Surgery | Issue 2/2012
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Background
Eagle’s syndrome is characterized by the symptoms of recurrent throat pain, pharyngeal foreign body sensation, dysphagia, referred otalgia, and neck pain. The treatment for Eagle´s syndrome can be pharmacologically, surgically, or both. The surgical management consists of two major procedures: the transoral approach or the extraoral–cervical approach.
Case Report
A 64-year-old patient with a severe cervical pain on the left side was evaluated with no defined diagnosis. During physical examination, an elongated styloid process could be palpated and with CT scan image, the Eagle´s syndrome diagnosis was done. The patient was successfully submitted to surgical resection of the elongated styloid process on the left side by an extraoral–cervical approach. After 6 months follow-up, the patient referred no symptom after the surgical treatment.
Conclusion
The extraoral/cervical approach is a safe alternative that achieves adequate treatment of Eagle’s syndrome.