Scientific publications

Stylohyoid Complex (Eagle) Syndrome Starting in a 9-Year-Old Boy

Gárriz-Luis M (1), Irimia P (2), Alcalde JM (3), Domínguez P (4), Narbona J (1).
(1) Pediatric Neurology Unit, Clínica Universidad de Navarra, Pamplona, Spain.
(2) Department of Neurology, Clínica Universidad de Navarra, Pamplona, Spain.
(3) Department of Otorhinolaryngology, Clínica Universidad de Navarra, Pamplona, Spain.
(4) Department of Radiology, Clínica Universidad de Navarra, Pamplona, Spain. 

Magazine: Neuropediatrics

Date: Dec 5, 2016

Neurology [SP] Otorhinolaryngology Pediatrics [SP] Radiology [SP]

Background

There are only four previous pediatric reports of the glossopharyngeal neuralgic form of the stylohyoid complex syndrome. Stylohyoid complex has merely been described as cases of glossopharyngeal neuralgia in children.

Case Report

A 12-year-old boy came to our hospital because of recurrent episodes of severe cranial pain (9/10) lasting for 5 to 15 minutes.

Pain affected the right tonsillar fossa, ear, and mastoid region. Since the start at the age of 9 years, the frequency of painful episodes has progressively increased: when admitted to our clinics 3 years later, the child was having up to five episodes daily in spite of analgesic, antiepileptic, and antidepressant drugs; he had abandoned school and leisure.

Between episodes, neurological examination detected only discomfort to pressure on the right tonsillar fossa. Three-dimensional computed tomography images of the skull base showed an elongated right styloid process and bilateral calcification of the stylohyoid ligament.

After surgical excision of the right styloid process and of part of the stylohyoid ligament, the glossopharyngeal painful episodes ceased.

The patient remains asymptomatic seven years later.

Conclusion

In spite of its rarity in childhood, this debilitating but treatable syndrome should be kept in mind for the differential diagnosis of recurrent cranial pain in the pediatric population.

CITATION  Neuropediatrics. 2016 Dec 5

you maybe interested

WHAT TECHNOLOGY
DO WE USE?

The Clínica is the greater private hospital with technological equipment of Spain, all in a single center.

Imagen de un PET, tecnología de vanguardia en la Clínica Universidad de Navarra

OUR
PROFESSIONALS

The professionals of the Clínica perform continuous research and training, always to the benefit of the patient.

Imagen profesionales de la Clínica Universidad de Navarra

WHY CHOOSE
THE CLINICA?

Learn why we are different from other healthcare centers. Quality, speed, comfort and results.

Imagen del edificio de la Clínica Universidad de Navarra