Perioperative Anesthesia Management in a Patient with Eagle Syndrome

Abstract

Eagle syndrome; prolonged styloid syndrome is a clinical picture caused by an elongated, enlarged and angulated styloid process. Most of the cases are asymptomatic. Symptomatic cases are presented as continuous intermittent pain in the face and anterolateral neck region, which can vary depending on position, reflection pain may be seen in the ipsilateral ear and temporomandibular joint. Patients with bilateral prolonged styloid process may present unilateral complaints. Symptom can manifest itself with foreign body sensation in the throat, episodes of dysphagia and syncope. Syncope episodes are one of the most serious clinical manifestations of the syndrome and are called 'Carotid-Styloid Syndrome'. Patient anamnesis and physical examination are the most importat steps for diagnosis. Palpation of the styloid process in the tonsillar fossa is a clue for Eagle syndrome. Diagnosis should be confirmed by imaginary examinations. Local anesthetic injection into the tonsillar fossa can be used for differential diagnosis. Post-injection pain relief is a symptom in favor of Eagle syndrome. Medical or surgical methods can be used in the treatment of Eagle syndrome. In this article, perioperative anesthesia management of a 38-year-old woman with Eagle syndrome, who was planned to undergo axillary lymph node biopsy in the Ondokuz Mayıs University Hospital, is presented as a case report.

Keywords

• : Eagle syndrome
• stylohyoid syndrome
• neurological monitorization

References

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