Eagle syndrome: case report/Eagle sendromu: olgu sunumu

Eagle syndrome is an aggregate of symptoms caused by an elongated styloid process, most frequently resulting in headache, facial pain, dysphagia and sensation of foreign body in throat. The proper diagnosis is not difficult with clinical history, physical examination and radiographic assessment if there is a sufficient degree of suspicion. The treatment is very effective. We report here a typical case of Eagle syndrome which was misdiagnosed as trigeminal neuralgia for many years and was treated with carbamazepine. We aim to point the place of Eagle syndrome in the differential diagnosis of facial pain. We also re-emphasize the usefulness of the three-dimensional computed tomography in the diagnosis of Eagle syndrome. Even though Eagle syndrome is a rare condition, in cases of facial pain refractory to treatment or unexplained complaints of the head and neck region, it should be considered in the differential diagnosis as it has therapeutic consequences. Key words: Cervicofacial pain; Eagle syndrome; facial pain; trigeminal neuralgia. Eagle sendromu, elonge stiloid cikintinin neden oldugu belirtiler toplulugudur. Eagle sendromunda basagrisi, yuz agrisi, disfaji ve bogazda yabanci cisim varligi hissi sik gorulur. Oyku, fizik muayene ve goruntuleme bulgulariyla kolayca tani konulabilir. Cerrahi tedavi etkindir. Olgu yuz agrisi sikayeti nedeniyle trigeminal nevralji tanisi almis ve uzun yillardir karbamazepin kullanmaktadir. Duz kafa grafisi ve boyun bolgesinin uc boyutlu bilgisayarli tomografisi tipik Eagle sendromu bulgularini gostermektedir. Bu olgu ile yuz agrisi ayirici tanisinda Eagle sendromunun yerine dikkat cekilmis ve Eagle sendromu tanisinda uc boyutlu bilgisayarli tomografinin kullanimi uzerinde durulmustur. Eagle sendromu, nadir bir durum olarak dusunulse de, ozellikle cerrahi tedaviye iyi yaniti nedeniyle bas ve boyun bolgesiyle ilgili aciklanamayan sikayetleri olan, tibbi tedaviye direncli hastalarda akla gelmelidir. Anahtar sozcukler: Servikofasiyal agri; Eagle sendromu; yuz agrisi; trigeminal nevralji.