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	Masanori Kawasaki, Sunao Hatashima, Tomio Matsuda
Journal	Journal of anesthesia (J Anesth) Vol. 26 Issue 6 Pg. 918-21 (Dec 2012) ISSN: 1438-8359 [Electronic] Japan
PMID	22760524 (Publication Type: Case Reports, Journal Article)
Chemical References	Amines Analgesics Anesthetics, Local Cyclohexanecarboxylic Acids Ganglionic Blockers gamma-Aminobutyric Acid Gabapentin Lidocaine
Topics	Aged Amines (therapeutic use) Analgesics (therapeutic use) Anesthetics, Local (administration & dosage, therapeutic use) Cyclohexanecarboxylic Acids (therapeutic use) Gabapentin Ganglionic Blockers (therapeutic use) Glossopharyngeal Nerve Diseases (diagnostic imaging, etiology, therapy) Humans Image Processing, Computer-Assisted Imaging, Three-Dimensional Lidocaine (administration & dosage, therapeutic use) Male Ossification, Heterotopic (complications, diagnostic imaging, therapy) Pain (etiology) Pain Measurement Stellate Ganglion Temporal Bone (abnormalities, diagnostic imaging) Tomography, X-Ray Computed gamma-Aminobutyric Acid (therapeutic use)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.

Realize the full power of the drug-disease research graph!