A 55-year-old woman presented with left sided continuous facial pain and a painful throat radiating to the left peri-auricular region. A CT revealed bilateral elongation of the styloid process (arrows). These findings, in combination with the presenting symptoms, indicate the Eagle syndrome. Symptoms are attributed to impingement of neural and/or vascular structures which are located in close proximity to the styloid process, such as the glossopharyngeal, vagus, accessory and hypoglossal nerves and the internal carotid artery.
The patient underwent surgery in which the left styloid process was removed. She made an uneventful recovery and became pain-free.
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