A. Papa, M. Ferrara, P. Buonanno, V. Santoro, C. Servodio, G. Servillo
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引用次数: 2
摘要
鹰氏综合征是一种罕见的病症,其特点是喉咙有异物感,颈部疼痛和吞咽困难。通常是由于病理性茎突变长或茎突舌骨韧带骨化所致。有两种经典的治疗方法:保守治疗,结合非甾体抗炎药(NSAIDs)、抗惊厥药和抗抑郁药,同时局部注射局部麻醉剂/皮质类固醇,或手术治疗,即切除茎突和茎突舌骨韧带。我们报告了一位52岁的女性,以颈部右侧、喉咙后部、扁桃体窝、舌根、软腭和枕骨下半部的疼痛为主诉,并伴有喉咙异物感。这些症状开始于29岁饮用一些水后,疼痛强度由数值评定量表(NRS)评估为10。药物治疗和手术治疗都没有明显的缓解效果。2017年,患者引起了我们的注意,我们将10KHz脊髓刺激器(SCS)放置在C2和C7之间,明显缓解了疼痛(NRS4),并完全缓解了喉咙中的异物感。据我们所知,这是首例用SCS治疗鹰氏综合征的病例。本文报道了该病例,并对Eagle综合征进行了简短的回顾,并对SCS的机制和潜在应用进行了描述。DOI: 10.29011 / 2576 - 957 x / 100012
A Novel Approach with Spinal Cord Stimulation for the Treatment of Chronic Pain in Eagle’s Syndrome: A Case Report
Eagle’s syndrome is a rare condition characterized by foreign body sensation in the throat, cervical pain, and dysphagia. It is commonly due to a pathological longer styloid process or ossification of the stylohyoid ligament. There are two classical therapeutic approaches: a conservative management, with a combination of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), anticonvulsants and antidepressants along with local injections of local anaesthetics/corticosteroids, or a surgical treatment i.e. the removal of the styloid process and stylohyoid ligament. We reported the case of a 52-years old woman presented with pain localized at the right side of the neck, back of the throat, tonsillar fossa, base of the tongue, soft palate and inferior part of the occipital bone together with sensation of foreign body in the throat. These symptoms started at the age of 29 after drinking some water with a pain intensity evaluated by numeric rating scale (NRS) of 10. Both pharmacological and surgical treatment didn’t produce substantial relief. In 2017 the patient came to our attention and a 10KHz Spinal Cord Stimulator (SCS) was positioned between C2 and C7 with a significant pain relief (NRS4) and a complete relief from foreign body sensation in the throat. This is, to our knowledge, the first case of Eagle’s syndrome treated with SCS. This case is here reported along with a short review of Eagle’s syndrome and a description of mechanisms and potential applications of SCS. DOI: 10.29011/2576-957X/100012