Perioperative Anesthesia Management in a Patient with Eagle Syndrome

Year 2022, Volume: 39 Issue: 4, 1294 - 1296, 29.10.2022

Ozgenur Bacaksız Elif Şener

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

• Referans1. Kurmann, P. T., & Van Linthoudt, D. (2007). Eagle syndrom: a rare cause of lateral neck pain. Praxis, 96(8), 297-300.
• Referans2. Fini, G., Gasparini, G., Filippini, F., Becelli, R., & Marcotullio, D. (2000). The long styloid process syndrome or Eagle's syndrome. Journal of cranio-maxillofacial surgery, 28(2), 123-127.
• Referans3. Eagle, W. W. (1949). Symptomatic elongated styloid process report of two cases of styloid process–carotid artery syndrome with operation. Archives of otolaryngology, 49(5), 490-503.
• Referans4. Fusco, D. J., Asteraki, S., & Spetzler, R. F. (2012). Eagle’s syndrome: embryology, anatomy, and clinical management. Acta neurochirurgica, 154(7), 1119-1126.
• Referans5. Eagle WW. Elongated styloid processes: report of two cases. Arch Otolaryngol 1937;47:584-87. .
• Referans6. Beder, E., Ozgursoy, O. B., Ozgursoy, S. K., & Anadolu, Y. (2006). Three-dimensional computed tomography and surgical treatment for Eagle's syndrome. Ear, nose & throat journal, 85(7), 443-445.
• Referans7. Prasad, K. C., Kamath, M. P., Reddy, K. J. M., Raju, K., & Agarwal, S. (2002). Elongated styloid process (Eagle's syndrome): a clinical study. Journal of Oral and Maxillofacial Surgery, 60(2), 171-175.
• Referans8. Yavuz, H., Caylakli, F., Yildirim, T., & Ozluoglu, L. N. (2008). Angulation of the styloid process in Eagle’s syndrome. European archives of oto-rhino-laryngology, 265(11), 1393-1396.
• Referans9. Piagkou, M., Anagnostopoulou, S., Kouladouros, K., & Piagkos, G. (2009). Eagle's syndrome: a review of the literature. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists, 22(5), 545-558.
• Referans10. Rizzatti‐Barbosa, C. M., Ribeiro, M. C., Silva‐Concilio, L. R., Di Hipolito, O., & Ambrosano, G. M. (2005). Is an elongated stylohyoid process prevalent in the elderly? A radiographic study in a Brazilian population. Gerodontology, 22(2), 112-115.
• Referans11. Dr. Amit Kumar Roy, Dr. Santosh T-Reader, Case Study of Asymptomatic Eagle’s Syndrome, International journal of Current Research vol. 10, January, 2018.
• Referans12. İlgüy, M., İlgüy, D., Güler, N., & Bayirli, G. (2005). Incidence of the type and calcification patterns in patients with elongated styloid process. Journal of international medical research, 33(1), 96-102.
• Referans13. Rechtweg, J. S., & Wax, M. K. (1998). Eagle's syndrome: a review. American journal of otolaryngology, 19(5), 316-321.
• Referans14. Eagle, W. W. (1948). Elongated styloid process: further observations and a new syndrome. Archives of otolaryngology, 47(5), 630-640.
• Referans15. Glogoff, M. R., Baum, S. M., & Cheifetz, I. (1981). Diagnosis and treatment of Eagle's syndrome. Journal of Oral Surgery (American Dental Association: 1965), 39(12), 941-944.