Trigeminal neuralgia post-styloidectomy in Eagle syndrome: a case report
<p>Abstract</p> <p>Introduction</p> <p>Eagle syndrome is a condition characterized by an elongated (>3cm) styloid process with associated symptoms of recurrent facial or throat pain. In this report we present a case of Eagle syndrome exhibiting the typical findings o...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-10-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/6/1/333 |
| _version_ | 1818379343909355520 |
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| author | Blackett John Ferraro Daniel J Stephens John J Dowling Joshua L Jaboin Jerry J |
| author_facet | Blackett John Ferraro Daniel J Stephens John J Dowling Joshua L Jaboin Jerry J |
| author_sort | Blackett John |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Eagle syndrome is a condition characterized by an elongated (>3cm) styloid process with associated symptoms of recurrent facial or throat pain. In this report we present a case of Eagle syndrome exhibiting the typical findings of glossopharyngeal nerve involvement, as well as unusual involvement of the trigeminal nerve. Notably, this patient developed a classical trigeminal neuralgia post-styloidectomy.</p> <p>Case presentation</p> <p>A 68-year-old Caucasian woman presented with a 25-year history of dull pain along the right side of her throat, lateral neck, and jaw. Her symptoms were poorly controlled with medication until 15 years ago when she was diagnosed with Eagle syndrome, and underwent a manual fracture of her styloid process. This provided symptomatic relief until 5 years ago when the pain recurred and progressed. She underwent a styloidectomy via a lateral neck approach, which resolved the pain once again. However, 6 months ago a new onset of triggerable, electric shock-like facial pain began within the right V1 and V2 distributions.</p> <p>Conclusions</p> <p>Eagle syndrome is distressing to patients and often difficult to diagnose due to its wide variability in symptoms. It is easily confused with dental pain or temporomandibular joint disorder, leading to missed diagnoses and unnecessary procedures. Pain along the jaw and temple is an unusual but possible consequence of Eagle syndrome. An elongated styloid process should be considered a possible etiology of dull facial pain in the trigeminal distributions, in particular V3.</p> |
| first_indexed | 2024-12-14T02:01:17Z |
| format | Article |
| id | doaj.art-1ae3af3cd54d411aafab106d8600067f |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-14T02:01:17Z |
| publishDate | 2012-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-1ae3af3cd54d411aafab106d8600067f2022-12-21T23:20:59ZengBMCJournal of Medical Case Reports1752-19472012-10-016133310.1186/1752-1947-6-333Trigeminal neuralgia post-styloidectomy in Eagle syndrome: a case reportBlackett JohnFerraro Daniel JStephens John JDowling Joshua LJaboin Jerry J<p>Abstract</p> <p>Introduction</p> <p>Eagle syndrome is a condition characterized by an elongated (>3cm) styloid process with associated symptoms of recurrent facial or throat pain. In this report we present a case of Eagle syndrome exhibiting the typical findings of glossopharyngeal nerve involvement, as well as unusual involvement of the trigeminal nerve. Notably, this patient developed a classical trigeminal neuralgia post-styloidectomy.</p> <p>Case presentation</p> <p>A 68-year-old Caucasian woman presented with a 25-year history of dull pain along the right side of her throat, lateral neck, and jaw. Her symptoms were poorly controlled with medication until 15 years ago when she was diagnosed with Eagle syndrome, and underwent a manual fracture of her styloid process. This provided symptomatic relief until 5 years ago when the pain recurred and progressed. She underwent a styloidectomy via a lateral neck approach, which resolved the pain once again. However, 6 months ago a new onset of triggerable, electric shock-like facial pain began within the right V1 and V2 distributions.</p> <p>Conclusions</p> <p>Eagle syndrome is distressing to patients and often difficult to diagnose due to its wide variability in symptoms. It is easily confused with dental pain or temporomandibular joint disorder, leading to missed diagnoses and unnecessary procedures. Pain along the jaw and temple is an unusual but possible consequence of Eagle syndrome. An elongated styloid process should be considered a possible etiology of dull facial pain in the trigeminal distributions, in particular V3.</p>http://www.jmedicalcasereports.com/content/6/1/333 |
| spellingShingle | Blackett John Ferraro Daniel J Stephens John J Dowling Joshua L Jaboin Jerry J Trigeminal neuralgia post-styloidectomy in Eagle syndrome: a case report Journal of Medical Case Reports |
| title | Trigeminal neuralgia post-styloidectomy in Eagle syndrome: a case report |
| title_full | Trigeminal neuralgia post-styloidectomy in Eagle syndrome: a case report |
| title_fullStr | Trigeminal neuralgia post-styloidectomy in Eagle syndrome: a case report |
| title_full_unstemmed | Trigeminal neuralgia post-styloidectomy in Eagle syndrome: a case report |
| title_short | Trigeminal neuralgia post-styloidectomy in Eagle syndrome: a case report |
| title_sort | trigeminal neuralgia post styloidectomy in eagle syndrome a case report |
| url | http://www.jmedicalcasereports.com/content/6/1/333 |
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