title: Non-surgical therapy for bilateral glossopharyngeal neuralgia caused by Eagle's syndrome, diagnosed by three-dimensional computed tomography: a case report.
abstract: Eagle's syndrome is an uncommon sequela of elongation of the styloid process. Symptoms include recurrent throat pain and anterolateral neck pain, with referred pain to the ear. We report a 65-year-old man who presented with bilateral glossopharyngeal neuralgia. We performed three-dimensional computed tomography which revealed that the right styloid process was 35.1 mm and the left process was 29.6 mm, leading to diagnosis of an elongated styloid process, i.e. Eagle's syndrome. Because the patient refused surgical treatment, conservative therapy was selected. Oral gabapentin, stellate ganglion block, and 8 % lidocaine spray on the tonsillar branches of the glossopharyngeal nerve resulted in complete resolution of the paroxysms of pain in approximately 3 weeks.
authors: Department of Anesthesiology, Kanazawa Medical University Himi Municipal Hospital, Kurakawa 1130, Himi, Toyama, 935-8531, Japan. masa_anest@yahoo.co.jp
authors: Masanori
authors: M
authors: Kawasaki
authors: Sunao
authors: S
authors: Hatashima
authors: Tomio
authors: T
authors: Matsuda
mesh_terms: D000368:Aged; D000588:Amines / Q000627:therapeutic use; D000700:Analgesics / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D003509:Cyclohexanecarboxylic Acids / Q000627:therapeutic use; D000077206:Gabapentin; D005730:Ganglionic Blockers / Q000627:therapeutic use; D020435:Glossopharyngeal Nerve Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008012:Lidocaine / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D009999:Ossification, Heterotopic / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D010146:Pain / Q000209:etiology; D010147:Pain Measurement; D013233:Stellate Ganglion; D013701:Temporal Bone / Q000002:abnormalities / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D005680:gamma-Aminobutyric Acid / Q000627:therapeutic use
chemical_list: D000588:Amines; D000700:Analgesics; D000779:Anesthetics, Local; D003509:Cyclohexanecarboxylic Acids; D005730:Ganglionic Blockers; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin; D008012:Lidocaine