Heterogeneity in the clinical presentation of Eagle's syndrome

Abstract

Objective: Eagle's syndrome (ES) or symptomatic elongated styloid process is an uncommon but important cause of chronic head and neck pain. This study reports our experience in the diagnosis and treatment of a series of patients with ES.

Study design: Patient histories, radiographic tests, and operative reports of 3 patients over a 3-month period were prospectively collected.

Setting: Tertiary referral otolaryngology service.

Results: All patients had resolution of symptoms relating to their elongated styloid processes after surgical resection.

Conclusion: Although sometimes clouded by coexisting symptoms, ES can be easily diagnosed based on good history taking and physical examination. If diagnosed appropriately, surgical treatment can be administered promptly.

Significance: Patients with ES commonly have a long history of chronic pain treated by multiple physicians. Appropriate diagnosis can lead to prompt treatment of this condition.

Ebm rating: C-4.