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Images in Neurology |

Eagle Syndrome:  An Unusual Cause of Head and Neck Pain

Christina K. Sun, MD; Vince Mercuri, MMed, FRANCZR; Mark J. Cook, MD, FRACP
Arch Neurol. 2006;63(2):294. doi:10.1001/archneur.63.2.294.
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Eagle syndrome is characterized by recurrent pain in the oropharynx and face due to an elongated styloid process or calcified stylohyoid ligament.1 It must be differentiated from glossopharyngeal neuralgia. We aim to bring Eagle syndrome to the attention of neurologists because it is underrepresented in neurological literature. We present a case of a man with left mastoid pain; computed tomographic scan revealed extensive stylohyoid ligament ossification bilaterally. With appropriate clinical history and radiography, Eagle syndrome can usually be identified and treated.

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Figure.

Reformatted coronal maximum intensity projection image (A) and volume-rendered reconstruction in bone window (B) of the upper neck data set, demonstrating near-complete stylohyoid ligament (arrows) ossification, extending from the styloid process tip to the lesser cornu of the hyoid bone bilaterally.

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