FM, MPS, TMJD, and Eagle Syndrome

Discussion in 'Fibromyalgia Main Forum' started by tansy, Aug 13, 2008.

  1. tansy

    tansy New Member

    Is there a Relationship Between Eagle Syndrome and Cervicofacial
    Painful Soft Tissue Rheumatisms?

    Laryngoscope. 2008 Jul 31. [Epub ahead of print]

    Zinnuroglu M, Ural A, Günendi Z, Meray J, KöybaºoA.

    From the Departments of Physical Medicine and Rehabilitation (m.z.,
    z.g., j.m.), and Ear Nose and Throat Diseases (a.u., a.k.), Gazi
    University School of Medicine, Ankara, Turkey.

    PMID: 18677284

    OBJECTIVES/HYPOTHESIS: To investigate the incidence of locomotor
    system pathologies such as myofacial pain syndrome (MPS),
    fibromyalgia syndrome (FMS), and temporomandibular dysfunction in
    patients with Eagle Syndrome.

    STUDY DESIGN: Prospective study.

    PATIENTS AND METHODS: Fourteen patients with Eagle Syndrome, who were
    treated surgically, were enrolled in the study. Etiologic factors for
    cervicofacial pain were assessed, pain status was compared
    preoperatively and postoperatively using visual analogue scale.
    Palpation of tonsillar fossa, neck and shoulder examination,
    neurologic examination, evaluation of occlusion status, trigger
    points, and painful zones were done. Plain anteroposterior and
    lateral radiographs of the cervical spine were obtained and the
    lengths of the transverse processes of the seventh cervical vertebrae
    were measured bilaterally.

    RESULTS: MPS, FMS, and temporomandibular dysfunction were diagnosed
    in 9 (64.3%), 3 (21.4%), and 2 (14.3%) patients, respectively. Visual
    analogue scale scores decreased significantly after the surgical
    excision of elongated styloid processes (from 6.7 +/- 2.3 to 2.1 +/-
    1.8), and all the complaints except for headache had diminished (P <
    .05). Lengths of transverse processes of seventh cervical vertebra
    were found to be correlated with the length of styloid process
    (right; r = 0.644, P = .024, left; r = 0.616, P = .033).

    CONCLUSIONS: Cervicofacial pain is a common complaint in patients
    with Eagle Syndrome. It frequently coexists with rheumatic disorders
    resulting in chronic pain such as MPS and FMS. Even though Eagle
    Syndrome is a rare condition, it should be kept in mind in patients
    suffering from chronic cervicofacial pain that is refractory to
    treatment. Clinicians should be alert to diagnose and treat
    coexisting locomotor system disorders.

    [Note: From Wikipedia:
    Eagle syndrome is a rare condition where an elongated styloid
    process* (more than 30mm) is in conflict with the adjacent anatomical

    Two forms of eagle syndrome exists: The classic form and the vascular one.

    *In anatomy, a styloid process (from Greek stylos, "pillar"), usually
    serving as points of attachment for muscles, refers to the slender,
    pointed process (protrusion) of :

    * temporal bone of the skull - Styloid process (temporal)
    * radius bone of the lower arm - Styloid process (radius)
    * ulna bone of the lower arm - Styloid process (ulna)]
    [This Message was Edited on 08/13/2008]