Atypical presentation of Eagle syndrome with hypoglossal nerve palsy and Horner syndrome

被引:24
作者
Bensoussan, Yael [1 ]
Letourneau-Guillon, Laurent [2 ]
Ayad, Tareck [3 ,4 ]
机构
[1] Univ Montreal, Montreal, PQ H3C 3J7, Canada
[2] Ctr Hosp Univ Montreal, Dept Radiol, Div Neuroradiol, Montreal, PQ H2L 4M1, Canada
[3] Ctr Hosp Univ Montreal, Div Otolaryngol & Head Neck Surg, Montreal, PQ H2L 4M1, Canada
[4] Hosp Maisonneuve Rosemont, Quebec City, PQ, Canada
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2014年 / 36卷 / 12期
关键词
Eagle syndrome; hypoglossal nerve palsy; radiology; carotid stenosis; Horner syndrome; ISCHEMIA;
D O I
10.1002/hed.23675
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
BackgroundMany nerve injuries have been associated with Eagle syndrome. The cranial nerves V, VII, IX, and X have been reported to be injured by the elongated styloid process in this syndrome. MethodsWe describe a case of Eagle syndrome with atypical symptoms of hypoglossal nerve palsy and Horner syndrome. ResultsA 56-year-old woman presented with right hypoglossal nerve palsy, right Horner syndrome, right neck pain, and symptoms mimicking transient cerebral ischemia. An angioscan showed elongated styloid process bilaterally with the right process compressing the right carotid artery causing a 75% stenosis. After an en bloc resection of the right styloid process, there were no further episodes of paresthesias. The neck pain completely disappeared, as well as the Horner syndrome. As for the hemitongue, the fasciculations disappeared but the atrophy remained. ConclusionThis is the first Eagle syndrome case report describing a motor paralysis of a cranial nerve. (c) 2014 Wiley Periodicals, Inc. Head Neck 36: E136-E138, 2014
引用
收藏
页码:E136 / E138
页数:3
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