关键词: Computed Tomography Eagle's syndrome Neck pain Ossification Styloid process

来  源:   DOI:10.1016/j.radcr.2023.06.030   PDF(Pubmed)

Abstract:
Eagle\'s syndrome, or ES, is associated with the elongation of the styloid process and partial or complete mineralization of the stylohyoid ligament. Clinically, the symptoms of ES are characterized by sore throat, neck pain radiating to the ear, dysphagia, and a foreign body sensation when swallowing, resulting from disruption of the neck or pharyngeal region. This report describes 3 male patients (40, 60, and 43 years old) with neck discomfort. These patients were inadvertently diagnosed with ES using multidetector computer tomography and 3-dimensional volumetric computed tomography (MDCT-3D CT). The length of the left styloid process in the first case was 42 mm. In the second case, the size of the right styloid process was 53 mm. In the last case, the length of the right styloid process was 41 mm, while the left side was 43 mm. This syndrome should always be suspected when pain is unilateral and unresponsive to analgesics, mainly in women. Diagnosis requires appropriate examination through radiological examination, special techniques, and experiences. We aim to present and re-emphasize the consideration of a differential diagnosis of ES for diagnosticians.
摘要:
鹰综合征,或ES,与茎突的伸长和茎突韧带的部分或完全矿化有关。临床上,ES的症状以喉咙痛为特征,颈部疼痛辐射到耳朵,吞咽困难,吞咽时的异物感,由于颈部或咽部区域的破坏。本报告描述了3名男性患者(40、60和43岁)的颈部不适。使用多探测器计算机断层扫描和3维体积计算机断层扫描(MDCT-3DCT)无意中诊断出这些患者患有ES。在第一种情况下,左茎突的长度为42毫米。在第二种情况下,右侧茎突大小为53毫米。在最后一种情况下,右侧茎突长度为41毫米,而左侧为43毫米。当疼痛是单方面的并且对镇痛药无反应时,应始终怀疑这种综合征,主要是女性。诊断需要通过放射学检查进行适当的检查,特殊技术,和经验。我们的目标是提出并再次强调诊断医师对ES的鉴别诊断的考虑。
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