关键词: 3D-CT Eagle's syndrome Stylalgia Styloid process

来  源:   DOI:10.1016/j.radcr.2018.10.008   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Eagle\'s syndrome (ES) refers to symptomatic elongation of the ossified styloid process. A styloid process greater than 2.5 cm in length should be considered abnormal; however, an elongated styloid process is not sufficient for a diagnosis of ES; only an abnormal styloid process in association with symptoms can confirm the syndrome. In this case report, we discuss a 54-year-old man who has come to our attention with various symptoms: dysphagia to both solids and liquids, difficulty swallowing, neck pain, and a foreign body sensation during bilateral neck rotation and mouth opening. The diagnosis is performed radiologically because conventional radiographs have many potential disadvantages, whereas, computed tomography (CT) scans and reconstructions allow the length and angulation of the styloid process to be measured and the relationship between the elongated styloid processes and adjacent anatomical structures to be evaluated. Moreover, CT allows for differential diagnosis and provides detailed information needed for surgical planning.
摘要:
鹰综合征(ES)是指骨化茎突的症状性伸长。茎突长度大于2.5厘米应视为异常;然而,茎突的延长不足以诊断ES;只有与症状相关的异常茎突才能确认该综合征。在这个案例报告中,我们讨论了一个54岁的男人,他引起了我们的注意,有各种症状:吞咽困难,固体和液体,吞咽困难,颈部疼痛,双侧颈部旋转和张口时有异物感。诊断是通过放射学进行的,因为传统的X射线照片有许多潜在的缺点,然而,计算机断层扫描(CT)扫描和重建可以测量茎突的长度和角度,并评估细长茎突与相邻解剖结构之间的关系。此外,CT可以进行鉴别诊断,并提供手术计划所需的详细信息。
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