Bilateral optic neuropathy in an HIV patient

Neurologia (Barcelona, Spain) (Impact Factor: 1.38). 05/2010; 25(4):267-8. DOI: 10.1016/S2173-5808(10)70051-1
Source: PubMed
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    ABSTRACT: SOME of the obscure, as well as common, pharyngeal pains, painful deglutition and referred otalgia may be traced to an elongated styloid process.1 It is of interest that these symptoms are usually found only after tonsillectomy. I now hope to establish that the elongated styloid process may also cause facial pain and headache, even when tonsillectomy has not been performed, owing to impingement of the process on a carotid artery. Thus, there exist two distinct syndromes referable to the styloid process; these syndromes present groups of symptoms which differ in their anatomic locations.The classic, and commoner, syndrome usually relates all symptoms to the pharynx and the ear, but occasionally an atypical group of symptoms may be referred to the hypopharynx and the upper part of the esophagus.1f The second syndrome, which I shall designate as the styloid process–carotid artery syndrome, presents symptoms related to the pattern of
    Archives of otolaryngology 06/1949; 49(5):490-503. DOI:10.1001/archotol.1949.03760110046003
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    ABSTRACT: Eagle syndrome is an aggregate of symptoms caused by an elongated ossified styloid process, the cause of which remains unclear. This is a rare finding that often goes undetected in the absence of radiographic studies. In this case, we present the diagnostic CT and lateral view plain film radiography findings of a 39-year-old woman with clinical evidence of Eagle syndrome. Eagle syndrome can occur unilaterally or bilaterally and most frequently results in symptoms of dysphagia, headache, pain on rotation of the neck, pain on extension of the tongue, change in voice, and a sensation of hypersalivation (1, 2). We present rare and diagnostic radiographic evidence of this on both plain film radiographs and CT scans. Although well documented in otolaryngology literature and dentistry literature, this syndrome has not been reported in the radiology literature.
    American Journal of Neuroradiology 09/2001; 22(7):1401-2. · 3.59 Impact Factor
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    ABSTRACT: Eagle syndrome is an uncommon entity but is well known in the otorhinolaryngology and oral surgery literature. This syndrome results from the compression of cranial nerves in the neck by an elongated styloid process causing unilateral cervical and facial pain. The styloid process can also cause compression of the cervical carotid arteries leading to the so-called carotid artery syndrome together with carotidynia or neurological symptoms due to flow reduction in these arteries. The authors discuss the case of a 70-year-old man who suffered from transient ischemic attacks on turning his head to the left, with immediate remission of symptoms when his head returned to the neutral position. The patient was studied with dynamic angiography, which clearly showed focal flow restriction. Once a diagnosis was made, the styloid process was removed surgically and the patient completely recovered from his symptoms. A postoperative angiogram demonstrated complete resolution of the pathology. Neurosurgeons might encounter patients with Eagle syndrome and should be aware of the symptoms and signs. Once the diagnosis is made, the treatment is clear and very effective.
    Journal of Neurosurgery 10/2008; 110(1):90-3. DOI:10.3171/2008.3.17435 · 3.74 Impact Factor
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