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Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling

INTRODUCTION: Painful neck swelling is a common emergency complaint but can present diagnostic challenges. Eagle syndrome is a rare clinical entity in which a pathologically elongated styloid process or ossified stylohyoid ligament produces a constellation of symptoms in the head and neck region. CA...

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Autores principales: Worden, Cameron P., Bhandari, Sanjeeb S., Cable, Benjamin B., Kuehl, Damon R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219996/
https://www.ncbi.nlm.nih.gov/pubmed/32426671
http://dx.doi.org/10.5811/cpcem.2020.3.46284
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author Worden, Cameron P.
Bhandari, Sanjeeb S.
Cable, Benjamin B.
Kuehl, Damon R.
author_facet Worden, Cameron P.
Bhandari, Sanjeeb S.
Cable, Benjamin B.
Kuehl, Damon R.
author_sort Worden, Cameron P.
collection PubMed
description INTRODUCTION: Painful neck swelling is a common emergency complaint but can present diagnostic challenges. Eagle syndrome is a rare clinical entity in which a pathologically elongated styloid process or ossified stylohyoid ligament produces a constellation of symptoms in the head and neck region. CASE REPORT: We present the case of a 50-year-old male with a spontaneous, atraumatic fracture of an elongated styloid process associated with hematoma formation and radiological findings of airway impingement. DISCUSSION: The classic triad for Eagle syndrome consists of unilateral cervicofacial pain, globus sensation, and dysphagia. Diagnosis of Eagle syndrome should be made based on a combination of physical examination and radiological findings. Treatment options vary based on severity of symptoms. CONCLUSION: Although more likely to be an indolent and progressive complaint, providers in the acute care setting should be familiar with Eagle syndrome due to the potential for a spontaneous fracture of an elongated styloid process to cause acute, painful neck swelling and life-threatening airway compromise.
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spelling pubmed-72199962020-05-18 Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling Worden, Cameron P. Bhandari, Sanjeeb S. Cable, Benjamin B. Kuehl, Damon R. Clin Pract Cases Emerg Med Case Report INTRODUCTION: Painful neck swelling is a common emergency complaint but can present diagnostic challenges. Eagle syndrome is a rare clinical entity in which a pathologically elongated styloid process or ossified stylohyoid ligament produces a constellation of symptoms in the head and neck region. CASE REPORT: We present the case of a 50-year-old male with a spontaneous, atraumatic fracture of an elongated styloid process associated with hematoma formation and radiological findings of airway impingement. DISCUSSION: The classic triad for Eagle syndrome consists of unilateral cervicofacial pain, globus sensation, and dysphagia. Diagnosis of Eagle syndrome should be made based on a combination of physical examination and radiological findings. Treatment options vary based on severity of symptoms. CONCLUSION: Although more likely to be an indolent and progressive complaint, providers in the acute care setting should be familiar with Eagle syndrome due to the potential for a spontaneous fracture of an elongated styloid process to cause acute, painful neck swelling and life-threatening airway compromise. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-04-23 /pmc/articles/PMC7219996/ /pubmed/32426671 http://dx.doi.org/10.5811/cpcem.2020.3.46284 Text en Copyright: © 2020 Worden et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Worden, Cameron P.
Bhandari, Sanjeeb S.
Cable, Benjamin B.
Kuehl, Damon R.
Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling
title Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling
title_full Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling
title_fullStr Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling
title_full_unstemmed Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling
title_short Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling
title_sort eagle syndrome: a rare case of atraumatic, painful cervical neck swelling
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219996/
https://www.ncbi.nlm.nih.gov/pubmed/32426671
http://dx.doi.org/10.5811/cpcem.2020.3.46284
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