Exertional Headache as Unusual Presentation of the Syndrome of an Elongated Styloid Process

Authors

  • Ferdinando Maggioni MD,

    1. From the University of Padua—Department of Neurosciences, Padua, Italy (F. Maggioni, E. Mampreso, and G. Zanchin); University of Padua—Department of Otolaringology, Padua, Italy (R. Marchese-Ragona); Headache Centre—Department of Neurosciences, Venice, Italy (F. Mainardi).
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  • Rosario Marchese-Ragona MD,

    1. From the University of Padua—Department of Neurosciences, Padua, Italy (F. Maggioni, E. Mampreso, and G. Zanchin); University of Padua—Department of Otolaringology, Padua, Italy (R. Marchese-Ragona); Headache Centre—Department of Neurosciences, Venice, Italy (F. Mainardi).
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  • Edoardo Mampreso MD,

    1. From the University of Padua—Department of Neurosciences, Padua, Italy (F. Maggioni, E. Mampreso, and G. Zanchin); University of Padua—Department of Otolaringology, Padua, Italy (R. Marchese-Ragona); Headache Centre—Department of Neurosciences, Venice, Italy (F. Mainardi).
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  • Federico Mainardi MD,

    1. From the University of Padua—Department of Neurosciences, Padua, Italy (F. Maggioni, E. Mampreso, and G. Zanchin); University of Padua—Department of Otolaringology, Padua, Italy (R. Marchese-Ragona); Headache Centre—Department of Neurosciences, Venice, Italy (F. Mainardi).
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  • Giorgio Zanchin MD

    1. From the University of Padua—Department of Neurosciences, Padua, Italy (F. Maggioni, E. Mampreso, and G. Zanchin); University of Padua—Department of Otolaringology, Padua, Italy (R. Marchese-Ragona); Headache Centre—Department of Neurosciences, Venice, Italy (F. Mainardi).
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  • Conflict of Interest: None

F. Maggioni, University of Padua—Department of Neurosciences, Padua, Italy.

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.

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