Sie sind auf Seite 1von 1

The n e w e ng l a n d j o u r na l of m e dic i n e

Images in Clinical Medicine

ChanaA. Sacks, M.D., Editor

Eagles Syndrome
A B

A
Firat Elmas, M.D. 35-year-old man presented to the ear, nose, and throat clinic
BikashL. Shrestha, M.D. with sharp neck pain and a sensation of having a foreign body in the throat,
Lucerne Cantonal Hospital symptoms that had developed during the past year. At times the pain ex-
Lucerne, Switzerland tended to his right ear. He had no pain or difficulty on swallowing. On physical
firat_elmas@hotmail.com examination, a bony prominence in the right tonsillar fossa was palpated. Com-
puted tomography revealed two elongated styloid processes that measured 5.5 cm
on the right side and 5.2 cm on the left side (reference range, 2.5 to 3.0 cm), with
ossification of the stylohyoid ligaments (Panel A, arrows). A diagnosis of Eagles
syndrome was made. Eagles syndrome (first described by American otorhinolaryn-
gologist Watt Weems Eagle) is a rare clinical condition that can be associated with
a triad of cervical pain, foreign-body sensation in the throat, and dysphagia. It is
caused by the elongation of the styloid process or ossification of the stylohyoid
ligament. The patient underwent tonsillostyloidectomy. During surgery, an elongated
styloid process was visualized (Panel B, arrow) and was removed on each side. The
symptoms resolved immediately after surgery. On follow-up 6 months after surgery,
the patient remained asymptomatic and pain-free.
DOI: 10.1056/NEJMicm1703542
Copyright 2017 Massachusetts Medical Society.

e18 n engl j med 377;13nejm.org September 28, 2017

The New England Journal of Medicine


Downloaded from nejm.org on September 30, 2017. For personal use only. No other uses without permission.
Copyright 2017 Massachusetts Medical Society. All rights reserved.

Das könnte Ihnen auch gefallen