Abstract 11.1.12



Eagles Syndrome: Key to Definitive Diagnosis

Report of an Unusual Case and Discussion



V.R. Kumar1 and P. Yadav2

1Department of Oral & Maxillofacial Surgery, Orotta School of Medicine and Dental Medicine, Asmara, Eritrea, East Africa.

2Department of Periodontics and Oral Implantology, SGT Dental College Hospital and Research Institute, Budhera, Gurgaon, Huryana, India.




Abstract:  Eagles syndrome is an uncommon but an important cause of head and neck pain. The main etiology is the calcification of stylohyoid ligament or elongated styloid process. The heterogeneity of its presentation makes the diagnosis at times difficult. Sometimes, the condition is misdiagnosed as TMJ pain by the treating doctor.  It is important and imperative for the dental surgeon to have an insight into the nature of this anomaly. Eagle syndrome can occur unilaterally or bilaterally and most  frequently  results  in  symptoms  of radiating pain to ear ,TMJ and mastoid region,  dysphagia, head ache, pain on rotation of the neck, pain on extension of the tongue, change in voice, sensation of hypersalivation, etc. Radiographic investigations- X-rays and CT will confirm the exact diagnosis. Once diagnosed, surgical removal of styloid is the treatment of choice. A 39 year male patient with elongated styloid process syndrome with 6 years history of head and neck pain who was misdiagnosed and treated for TMJ disorder, neurologic pain and psychiatric condition is reported. He had no clinical symptoms of dysphagia.

Key words:  Eagles  syndrome,  Elongated styloid process



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