Stylohyoid Complex Syndrome

Colby, Candice C.; Gaudio, John M. Del

doi:10.1001/archoto.2011.25

Cited by 47 publications

(20 citation statements)

References 12 publications

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“…Watt Eagle, em 1940, baseado numa casuística de mais de 200 doentes, foi o primeiro a descrever uma síndrome caracterizada por odinofagia, cervicalgia, disfagia e mais raramente dor ou espasmo facial, como consequência da existência de apófises estilóideas anormalmente longas ou com angulação anormal 3,6 . Estimou-se a prevalência em cerca de 4% da população geral, sendo que destes apenas 4% seriam sintomáticos.…”

Section: Correlações Clínicasunclassified

Variação Anatômica da Apófise Estilóidea do Osso Temporal como Causa de Hipertensão Venosa Cerebral Súbita

Marques¹,

Cabral²

2018

jbnc

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A obstrução da drenagem venosa cerebral é uma entidade pouco conhecida na prática clínica podendo, no entanto estar implicada na etiopatogenia de situações como Pseudotumor cerebrii, enxaqueca, ou mesmo esclerose múltipla. Quando sintomática, apresenta-se com sinais e sintomas de hipertensão intracraniana crônica, isto é, cefaleias, papiledema e, mais raramente, zumbidos pulsáteis, consequência da estase venosa cerebral. As causas mais comuns são trombose venosa cerebral, compressão extrínseca por lesão tumoral, fratura afundada com comprometimento do sistema venoso e, raramente, a compressão da veia jugular por uma apófise etilóidea do osso temporal hipertrófica. Estão descritas inúmeras variações anatômicas desta apófise, condicionando manifestações clínicas diversas de acordo com a estrutura anatômica por ela afetada. Os autores relatam um caso clínico singular de compressão unilateral da veia jugular interna na região cervical superior (entre uma apófise estilóidea redundante e a massa lateral de C1), que se apresentou por cefaleia súbita e meningismo, mimetizando uma hemorragia subaracnóideia (HSA). Revêem-se as possíveis implicações desta variação anatômica sobre a circulação venosa cerebral, suas eventuais consequências patológicas e opções terapêuticas. Segundo os autores, situações de drenagem venosa deficiente por compressões extrínsecas da veia jugular interna na base do crânio devem ser investigadas sempre que existam queixas de hipertensão intracraniana idiopática ou evidências de hemorragias intracranianas de etiologia não esclarecida.

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Section: Correlações Clínicasunclassified

Variação Anatômica da Apófise Estilóidea do Osso Temporal como Causa de Hipertensão Venosa Cerebral Súbita

Marques¹,

Cabral²

2018

jbnc

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“…As a result, this may cause the patient to have a sensation of a foreign body, dysphagia, or tightness or pressure on that side of the neck. Recently, Colby and Del Gaudio 4 described a stylohyoid complex syndrome that causes neck and facial pain by an elongated hyoid, elongation of the styloid process, or ossified stylohyoid ligament (as in Eagle syndrome) in an attempt to consolidate 3 separate pathologic syndromes that cause the same symptoms. Any of these structures can irritate the carotid artery or cranial nerves VII, IX, or X. Impingement of the neurovascular bundle from an enlarged hyoid caused our patient pain.…”

Section: Commentmentioning

confidence: 99%

Anterior Neck Pain Due to Hyoid Malformation

Michalowicz

Izquierdo²,

Sorensen³

2012

Arch Otolaryngol Head Neck Surg

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A nterior neck pain often presents a challenging problem for the otolaryngologist because of the various causes. We report an unusual case of an asymmetric hyoid bone impinging on the carotid sheath with resulting pain on head rotation. Although rare, awareness of this condition is vital in successful treatment as surgical intervention provides immediate and long-term resolution of the symptoms. REPORT OF A CASEA 21-year-old man with a several-year history of intermittent, severe right anterior level II neck pain and swelling reported that his symptoms worsened when he turned his head to the right but slowly resolved over hours to days. The pain was always on the right side and often caused the patient to become nonfunctional for days at a time. The patient became dependent on narcotic medication to control this pain. Symptoms also included right torticollis and dysphagia. On physical examination, point tenderness was located in proximity to the superior portion of the right lateral hyoid bone.Computed tomography showed a significantly asymmetric hyoid bone. The right greater cornu of the hyoid extended laterally and was immediately adjacent to the carotid sheath at the bifurcation of the carotid artery. In the Figure, the right lateral portion of the hyoid bone is almost seen wrapping around the carotid sheath at this level with definite asymmetry compared with the left side. The left greater cornu of the hyoid was shorter and not closely associated with the carotid sheath. The patient was brought to the operating room for excision of the right greater cornu of his hyoid bone.The right lateral portion of the hyoid bone was excised without complication. After surgery, the patient had almost immediate relief of the pain. There was no need for further narcotic pain medication use. On follow-up examination, full neck range of motion was restored and his symptoms had completely resolved, with no return of pain. He is 7 years without incident.COMMENT

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“…Eagle's or stylohyoid syndrome is a generally unknown and rarely identifi ed anatomical and clinical condition involving the head and region (1,2). It is characterized by the symptoms of recurrent or permanent throat pain, pharyngeal foreign body sensation, dysphagia, bilateral otalgia, and neck pain (3,4). Historically, stylohyoid pain syndromes have been delineated based upon their etiology, i.e.…”

Section: Introductionmentioning

confidence: 99%

“…Eagle syndrome proper has been described as a pain syndrome associated with an elongated styloid. The congenital variant, often described as stylohyoid syndrome has been described as a syndrome with pain and symptoms of carotid compression (syncope, presyncope, and even transient ischemic attacks) caused by an ossifi ed stylohyoid ligament (3,6). Eagle's syndrome has also been called: stylohyoid syndrome, styloid syndrome, elongated process syndrome, stylal-gia, styloid-stylohyoid syndrome, styloid dysphagia, chronic styloid angina, temporal rheumatic styloiditis, stylocarotid syndrome and the Garel-Bernfeld syndrome (4).…”

Section: Introductionmentioning

confidence: 99%

3D navigation in surgery of Eagle syndrome

Czakó¹,

Hirjak²,

Šimko³

et al. 2019

BLL

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INTRODUCTION: Eagle's syndrome is a rare condition caused by the elongation of the styloid process (> 4 cm) or calcifi cation of the stylohyoid ligament. Patients with Eagle's syndrome typically present various clinical symptoms, such as headache, facial pain, neck pain, pulsating pain, sore throat, foreign body sensation, dysphagia, dysphonia, cough, voice changes, otalgia or vertigo. 3D printing refers to processes in which successive layers of material are formed from 3D computer tomography data to synthesize a three-dimensional object. This new diagnostic technique of rapid prototyping technology led to innovative new applications in biomedicine. OBJECTIVE: The primary goal for this case study was to fi nd out, whether the nowadays so popular 3D technology aids in the treatment of the Eagle syndrome or other similar craniofacial abnormalities during the surgical procedure. CASE PRESENTATION: We report a case of a patient who initially presented a combination of symptoms like headache, sore throat, neck pain, which exacerbated with the movement of the head. This case report provides a brief review of the diagnosis and surgical management of the Eagle's syndrome with the help of 3D model navigation. CONCLUSION: Eagle's syndrome is diffi cult to diagnose due to its wide variability in symptoms. The inherent accuracy and other properties of 3D printing have allowed it to have exciting applications in anatomy education and surgery, with great benefi t to the maxillofacial surgery. With the assistance of 3D technology, it is much easier for the surgeon to plan the surgical approach and the surgery, and signifi cantly reduce the operation time

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Stylohyoid Complex Syndrome

Cited by 47 publications

References 12 publications

Variação Anatômica da Apófise Estilóidea do Osso Temporal como Causa de Hipertensão Venosa Cerebral Súbita

Variação Anatômica da Apófise Estilóidea do Osso Temporal como Causa de Hipertensão Venosa Cerebral Súbita

Anterior Neck Pain Due to Hyoid Malformation

3D navigation in surgery of Eagle syndrome

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