title: Exertional headache as unusual presentation of the syndrome of an elongated styloid process.
abstract: We present the case of a 34-year-old man with a 2-year history of pain related to efforts in heavy lifting, beginning in the right ear and radiating to the neck and to the vertex. He underwent multiple negative neuroimaging examinations, until a 3-dimensional computerized tomography scan of the pharyngeal region evidenced an elongated styloid process. A diagnosis of Eagle's syndrome was made. The excision of the elongated styloid process was performed, resulting in complete and lasting pain relief. We focus on Eagle's syndrome and in particular on this atypical presentation.
authors.affiliation: Department of Neurosciences, University of Padua, Padua, Italy.
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Maggioni
authors.forename: Rosario
authors.initials: R
authors.lastname: Marchese-Ragona
authors.forename: Edoardo
authors.initials: E
authors.lastname: Mampreso
authors.forename: Federico
authors.initials: F
authors.lastname: Mainardi
authors.forename: Giorgio
authors.initials: G
authors.lastname: Zanchin
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004433:Earache / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D005156:Facial Neuralgia / Q000209:etiology* / Q000473:pathology* / Q000503:physiopathology; D051270:Headache Disorders, Primary / Q000209:etiology* / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D019547:Neck Pain / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D019635:Neurosurgical Procedures; D009784:Occupational Diseases / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D053591:Referred Pain / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D010614:Pharynx / Q000473:pathology / Q000503:physiopathology; D005082:Physical Exertion / Q000502:physiology; D013577:Syndrome; D013701:Temporal Bone / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014068:Tonsillectomy / Q000009:adverse effects; D016896:Treatment Outcome