Atypical presentation of Eagle syndrome with hypoglossal nerve palsy and Horner syndrome

Bensoussan, Yael; Létourneau-Guillon, Laurent; Ayad, Tareck

doi:10.1002/hed.23675

Cited by 27 publications

(12 citation statements)

References 8 publications

(10 reference statements)

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“…Only Bensoussan et al, 6 in 2014, related a case with hypoglossal paresis also due to an enlarged styloid process. Strokes, aneurysms, and dissections due to impingement or kinking of the internal carotid artery have been described as being caused by an enlarged styloid process.…”

Section: Discussionmentioning

confidence: 99%

Recurrent unilateral peripheral facial palsy in a patient with an enlarged styloid process

et al. 2018

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Background Recurrent peripheral facial paresis is a rare symptom that may be caused by multiple pathologic conditions. Methods We report a case of recurrent peripheral facial palsies caused by an ipsilateral enlarged styloid process. A surgical excision of the process was performed. Results The treatment was well tolerated. Postoperatively, no further recurrent paresis was observed. Conclusion To the best of our knowledge, this is the first case study of an enlarged styloid process with facial paresis. A detailed workup, including imaging, should be performed in cases with recurrent facial paresis and/or cases with a history of trauma and facial paresis and, of course, to exclude a neoplastic etiology.

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Section: Discussionmentioning

confidence: 99%

Recurrent unilateral peripheral facial palsy in a patient with an enlarged styloid process

et al. 2018

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“…The pain shows a similar distribution to the course of the carotid vessels, worsens during various head movements, correlates with syncopic episodes, aphasia, irradiates into the infraorbital and parietal area, while both tonsillectomy and neck trauma are typically absent from the patient’s history [6-8]. Bensoussan et al [9] mentioned a case of Eagle syndrome presenting with hypoglossal nerve palsy and Horner syndrome.…”

Section: Discussionmentioning

confidence: 99%

Transoral Robotic Surgery (TORS) for Bilateral Eagle Syndrome

Montevecchi

Caranti

Cammaroto

et al. 2018

ORL

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Eagle syndrome is a rare and poorly understood clinical condition caused by an elongated or disfigured styloid process. The possible managements of Eagle syndrome include conservative medical treatment or surgical intervention. The surgical removal of the elongated styloid process may be efficiently achieved either by an intraoral or a transcervical approach. An effective styloidectomy may be either total or partial, provided the bony residue’s length is within the range of normality. Here, we report our experience with a bilateral robotic-assisted styloidectomy in a young female patient. Our experience showed that this procedure is a safe alternative to traditional surgical approaches, granting an excellent view and a safe manipulation by robotic arms, and, thereby, avoiding iatrogenic damage to neurovascular structures. Moreover, transoral robotic surgery could represent the gold standard for the treatment of bilateral Eagle syndrome cases allowing a quick and safe single-time surgery.

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“…Suele causar dolor sordo o recurrente de garganta, sensación de cuerpo extraño faríngeo con otalgia refleja, odinofagia, disfagia [7] o dolor en el área del nervio glosofaríngeo, y más raramente dolor cervicofacial con limitación de movimientos cervicales, sobre todo con la deglución, apertura de la boca y los movimientos del cuello. Se han descrito parestesias en hemilengua ─por su proximidad al nervio lingual─ [6], paresia del nervio hipogloso, síndrome de Horner [8] o ictus de repetición ocasionado por la compresión de la arteria carótida interna por el proceso estiloides [9]. Se diagnostica ante un dolor cervicofacial uni o bilateral atípico que no responde a analgésicos habituales, junto con la exploración clínica ─la palpación en la fosa amigdalina del pilar anterior de una cuerda o punta ósea que produce o exacerba el dolor─ y radiológica ─siendo la radiografía panorámica y la lateral de cuello las utilizadas, pero su grado de distorsión de hasta el 37 % y la interposición de estructuras lleva a errores, por lo que se aconseja TAC con la boca abierta, y última-mente TAC con reconstrucciones 3D para su confirmación─ [10,11].…”

Section: Introductionunclassified

Odinofagia y cervicobraquialgia en síndrome de Eagle. Descripción de un caso

SANCHEZ-LEGAZA¹,

REPETTO-LOPEZ²,

GALLEGO-GALLEGOS³

2017

Rev. ORL

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Atypical presentation of Eagle syndrome with hypoglossal nerve palsy and Horner syndrome

Abstract: This is the first Eagle syndrome case report describing a motor paralysis of a cranial nerve.

Cited by 27 publications

References 8 publications

Recurrent unilateral peripheral facial palsy in a patient with an enlarged styloid process

Recurrent unilateral peripheral facial palsy in a patient with an enlarged styloid process

Transoral Robotic Surgery (TORS) for Bilateral Eagle Syndrome

Odinofagia y cervicobraquialgia en síndrome de Eagle. Descripción de un caso

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