Styloid/C1 transverse process juxtaposition as a cause of Eagle's syndrome

Head & Neck
Sandra HoDavid M Cognetti

Abstract

The purpose of this case report was to characterize styloid/C1 transverse process juxtaposition as a cause for Eagle's syndrome. A case series was conducted with a chart review of 5 patients with radiographic evidence of jugular vein compression who underwent styloid process excision between 2010 and 2013. There were 4 men and 1 woman, aged 35 to 62 years (mean, 46 years). Cervicalgia (4 of 5 patients) and otalgia (4 of 5 patients) were the most commonly reported symptoms. Styloid process length ranged from 2.4 to 8.5 cm. The distance between the styloid process and the transverse process of C1 ranged from 0.05 to 0.46 cm. All patients underwent a transcervical approach for the excision of the styloid process with immediate postoperative resolution of symptoms and good cosmetic results. Styloid/C1 transverse process juxtaposition can produce symptoms of cervicalgia and otalgia even in the setting of a normal length styloid process. The transcervical approach is safe and effective for excision of the styloid process and has good functional and cosmetic results.

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Citations

Jun 4, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Dominik HornKolja Freier
Jan 17, 2017·Neurología : publicación oficial de la Sociedad Española de Neurología·M Vicente PascualL Llull Estrany
Jan 8, 2017·Journal of Neurointerventional Surgery·Waleed BrinjikjiGiuseppe Lanzino
May 3, 2019·The Annals of Otology, Rhinology, and Laryngology·Candace M WatersDavid M Cognetti
Mar 19, 2020·Vascular Medicine·Mohammad Ryadh PokeerbuxMarc Lambert
Dec 12, 2018·The Annals of Otology, Rhinology, and Laryngology·Candace M WatersDavid M Cognetti
Dec 23, 2019·BMC Neurology·Paolo ZamboniStefano Pelucchi
Jul 23, 2019·Operative Neurosurgery·Xiaochun ZhaoPeter Nakaji
Jun 2, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Valentina TardivoNicola Romano
Aug 26, 2021·Journal of Neurointerventional Surgery·Sharon PangFerdinand Hui

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