Eagle's syndrome presenting as a cervical mass.
نویسندگان
چکیده
To cite: Kouki S, Guerfel M. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-200312 DESCRIPTION We report a case of an 84-year-old man who had completely recovered from Hodgkin’s disease and was consulting, after 2 years, for severe odynophagia. Clinical examination showed a left cervical mass associated with a bilateral filling tonsillar fossa. A relapse with a cervical compressive lymph node was suspected. An elongated styloid process, particularly on the left side, was identified on a CT scan. Multiplanar reconstructions (figure 1), volume rendering (figure 2) and maximum intensity projection (figure 3) CT reconstructions showed bilaterally elongated styloid processes >30 mm in length and left stylohyoid ligament ossifications. Eagle’s syndrome (ES) was therefore diagnosed. Skin surface method CT scan reconstruction and a photograph of the cervical region of the patient (figure 4) showed a left cervical mass. ES, sometimes called styloid or stylohyoid syndrome, is defined as the symptomatic ossification of the stylohyoid ligament and/or elongated styloid process >30 mm. Despite its frequency, ES is still underestimated by clinicians. Its pathogenesis remains obscure and its symptoms are variable. Its diagnosis is clinical and radiological. Because ES symptoms are variable and non-specific, it is very important for all clinicians to include it in the differential diagnosis when treating patients with an atypical headache, neck pain or cervical mass as in our case.
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ورودعنوان ژورنال:
- BMJ case reports
دوره 2013 شماره
صفحات -
تاریخ انتشار 2013