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Less known non-infectious and neuromusculoskeletal system-originated anterolateral neck and craniofacial pain disorders

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Abstract

Pain syndromes of neuromusculoskeletal origin are not well-known by most of the clinicians working on head and neck area. As a result, most of the patients with these syndromes are either overlooked without having any treatment or they inappropriately have antibiotic treatments or surgical interventions such as dental extractions and tonsillectomies. Better recognition of the pain syndromes of the neck and face region or entities related to neuromusculoskeletal system may result in more appropriate and effective management of such conditions while avoiding unnecessary medical and surgical treatments. In this review, causes, clinical characteristics, diagnostic and treatment modalities of relatively less known craniofacial and neck pain entities including Eagle syndrome, carotidynia, glossopharyngeal neuralgia, superior laryngeal neuralgia, hyoid bone syndrome, acute calcific retropharyngeal tendinitis, temporal tendinitis, thyroid and cricoid cartilage syndromes, and mastoid process syndrome are summarized.

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References

  1. Eagle WW (1948) Elongated styloid process; further observations and a new syndrome. Arch Otolaryngol 47:630–640

    Article  PubMed  CAS  Google Scholar 

  2. Ceylan A, Köybaşioğlu A, Celenk F, Yilmaz O, Uslu S (2008) Surgical treatment of elongated styloid process: experience of 61 cases. Skull Base 18:289–295

    Article  PubMed  Google Scholar 

  3. Farhat HI, Elhammady MS, Ziayee H, Aziz-Sultan MA, Heros RC (2009) Eagle syndrome as a cause of transient ischemic attacks. J Neurosurg 110:90–93

    Article  PubMed  Google Scholar 

  4. Soh KBK (1999) The glossopharyngeal nerve, glossopharyngeal neuralgia and the Eagle’s syndrome. Current concepts and management. Singap Med J 40:659–665

    CAS  Google Scholar 

  5. Ghosh LM, Dubey SP (1999) The syndrome of elongated styloid process. Auris Nasus Larynx 26:169–175

    Article  PubMed  CAS  Google Scholar 

  6. Chandler JR (1977) Anatomical variations of the stylohyoid complex and their clinical significance. Laryngoscope 87:1692–1701

    Article  PubMed  CAS  Google Scholar 

  7. Monsour PA, Young WG (1986) Variability of the styloid process and stylohyoid ligament in panoramic radiographs. Oral Surg Oral Med Oral Pathol 61:522–526

    Article  PubMed  CAS  Google Scholar 

  8. Zaki HS, Greco CM, Rudy TE, Kubinski JA (1996) Elongatednstyloid process in a temporomandibular disorder sample: prevalence andtreatment outcome. J Prosthet Dent 75:399–405

    Article  PubMed  CAS  Google Scholar 

  9. Kaufman SM, Elzay RP, Irish EF (1970) Styloid process variation. Radiologic and clinical study. Arch Otolaryngol 91:460–463

    Article  PubMed  CAS  Google Scholar 

  10. Eagle WW (1958) Elongated styloid process; symptoms and treatment. AMA Arch Otolaryngol 67:172–176

    Article  PubMed  CAS  Google Scholar 

  11. Kaufman SM, Elzay RP, Irish EF (1970) Styloid process variation. Radiologic and clinical study. Arch Otolaryngol 91:460–463

    Article  PubMed  CAS  Google Scholar 

  12. Correll RW, Jensen JL, Taylor JB, Rhyne RR (1979) Mineralization of the stylohyoid-stylomandibular ligament complex. A radiographic incidence study. Oral Surg Oral Med Oral Pathol 48:286–291

    Article  PubMed  CAS  Google Scholar 

  13. Evans JT, Clairmont AA (1976) The nonsurgical treatment of Eagle’s syndrome. Eye Ear Nose Throat Mon 55:94–95

    PubMed  CAS  Google Scholar 

  14. Biousse V, Bousser MG (1994) The myth of carotidynia. Neurology 44:993–995

    PubMed  CAS  Google Scholar 

  15. Upton PD, Smith JG, Charnock DR (2003) Histologic confirmation of carotidynia. Otolaryngol Head Neck Surg 129:443–444

    Article  PubMed  Google Scholar 

  16. White JR, Bell WL (2003) Dysphonia associated with carotidynia and migraine responding to dihydroergotamine. Headache 43:69–71

    Article  PubMed  Google Scholar 

  17. Headache Classification Committee of the International Headache Society (1988) Classification and diagnosis criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 8(Suppl):48–49

    Google Scholar 

  18. Second Headache Classification SubCommittee of the International Headache Society (2004) Classification and diagnosis criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 24(Suppl):70–71

    Google Scholar 

  19. Taniguchi Y, Horino T, Hashimoto K (2008) Is carotidynia syndrome a subset of vasculitis? J Rheumatol 35:1901–1902

    PubMed  Google Scholar 

  20. Taniguchi Y, Horino T, Hashimoto K (2008) Is carotidynia syndrome a subset vasculitis? J Rheumatol 35:1901–1902

    PubMed  Google Scholar 

  21. Amaravadi RR, Behr SC, Kousoubris PD et al (2008) [18F] Fluorodeoxyglucose positron-emission tomography-CT imaging of carotidynia. AJNR Am J Neuroradiol 29:1197–1199

    Article  PubMed  CAS  Google Scholar 

  22. Arning C (2005) Ultrasonography of carotidynia. AJNR Am J Neuroradiol 26(1):201–202

    PubMed  Google Scholar 

  23. Kuhn J, Harzheim A, Horz R et al (2006) MRI and ultrasonographic imaging of a patient with carotidynia. Cephalalgia 26:483–485

    Article  PubMed  CAS  Google Scholar 

  24. Tardy J, Pariente J, Nasr N et al (2007) Carotidynia: a new case for an old controversy. Eur J Neurol 14:704–705

    Article  PubMed  CAS  Google Scholar 

  25. Arteaga VA, Farber A, Wagner WH, Lauterbach SR, Cossman DV, Louis Cohen J, Levin PM (2003) Septic embolization to the carotid bifurcation presenting as carotidynia. Ann Vasc Surg 17:152–155

    Article  PubMed  Google Scholar 

  26. Schmidt WA, Seipelt E, Krause A, Wernicke D (2007) Carotidynia in Takayasu arteritis. J Rheumatol 34:231–232

    PubMed  Google Scholar 

  27. Woo JK, Jhamb A, Heran MK, Hurley M, Graeb D (2008) Resolution of existing intimal plaque in a patient with carotidynia. AJNR Am J Neuroradiol 29:732–733

    Article  PubMed  CAS  Google Scholar 

  28. Spears RC (2006) Carotidynia in a 57-year-old man. Headache 46:676–677

    Article  PubMed  Google Scholar 

  29. Ellul D, Cutajar J, Borg Xuereb H, Said M (2008) Nasopharyngeal carcinoma presenting as carotidynia in an 18-year-old patient. J Laryngol Otol 122:207–209

    Article  PubMed  CAS  Google Scholar 

  30. Hill LM, Hastings G (1994) Carotidynia: a pain syndrome. J Fam Pract 39:71–75

    PubMed  CAS  Google Scholar 

  31. Countee RW (1979) Carotidynia or carotid artery aneurysm? Neurology 29:422–423

    PubMed  CAS  Google Scholar 

  32. Farage L, Motta AC, Goldenberg D, Aygun N, Yousem DM (2007) Idiopathic inflammatory pseudotumor of the carotid sheath. Arq Neuropsiquiatr 65:1241–1244

    Article  PubMed  Google Scholar 

  33. Kim GE, Cho YP, Chung DH, Kwon TW, Kim OJ (1999) Inflammatory pseudotumor of carotid artery: a case report. Cardiovasc Surg 7:342–347

    Article  PubMed  CAS  Google Scholar 

  34. Cannon CR (1994) Carotidynia: an unusual pain in the neck. Otolaryngol Head Neck Surg 110:387–390

    PubMed  CAS  Google Scholar 

  35. Orfei R, Meienberg O (1983) Carotidynia: report of eight cases and prospective evaluation of therapy. J Neurol 230:65–72

    Article  PubMed  CAS  Google Scholar 

  36. Valle N, González-Mandly A, Oterino A, Pascual J (2003) A case of carotidynia with response to almotriptan. Cephalalgia 23:155–156

    Article  PubMed  CAS  Google Scholar 

  37. de Vries AC, Geuder J, Riles TS (1990) Carotidynia managed by surgical denervation of the carotid bulb. Eur J Vasc Surg. 4:325–326

    Article  PubMed  Google Scholar 

  38. Ozenci M, Karaoguz R, Conkbayir C, Altin T, Kanpolat Y (2003) Glossopharyngeal neuralgia with cardiac syncope treated by glossopharyngeal rhizotomy and microvascular decompression. Europace 5:149–152

    Article  PubMed  CAS  Google Scholar 

  39. Ferrante L, Artico M, Nardacci B, Fraioli B, Cosentino F, Fortuna A (1995) Glossopharyngeal neuralgia with cardiac syncope. Neurosurgery 36:58–63

    Article  PubMed  CAS  Google Scholar 

  40. Saviolo R, Fiasconaro G (1987) Treatment of glossopharyngeal neuralgia by carbamazepine. Br Heart J 58:291–292

    Article  PubMed  CAS  Google Scholar 

  41. Chawla JC, Falconer MA (1967) Glossopharyngeal and vagal neuralgia. Br Med J 3:529–531

    Article  PubMed  CAS  Google Scholar 

  42. Dykman TR, Montgomery EB Jr, Gerstenberger PD, Zeiger HE, Clutter WE, Cryer PE (1981) Glossopharyngeal neuralgia with syncope secondary to tumor. Treatment and pathophysiology. Am J Med 71:165–170

    Article  PubMed  CAS  Google Scholar 

  43. Giorgi C, Broggi G (1984) Surgical treatment of glossopharyngeal neuralgia and pain from cancer of the nasopharynx. A 20-year experience. J Neurosurg 61:952–955

    Article  PubMed  CAS  Google Scholar 

  44. Sobol SM, Wood BG, Conoyer JM (1982) Glossopharyngeal neuralgia-asystole syndrome secondary to parapharyngeal space lesions. Otolaryngol Head Neck Surg 90:16–19

    PubMed  CAS  Google Scholar 

  45. Kahana E, Leibowitz U, Alter M (1973) Brainstem and cranial nerve involvement in multiple sclerosis. Acta Neurol Scand 49:269–279

    Article  PubMed  CAS  Google Scholar 

  46. Waga S, Kojima T (1982) Glossopharyngeal neuralgia of traumatic origin. Surg Neurol 17:77–79

    Article  PubMed  CAS  Google Scholar 

  47. Orton CI (1972) Glossopharyngeal neuralgia. Its diagnosis and treatment. Br J Oral Surg 9:228–232

    Article  PubMed  CAS  Google Scholar 

  48. Taha JM, Tew JM Jr (1995) Long-term results of surgical treatment of idiopathic neuralgias of the glossopharyngeal and vagal nerves. Neurosurgery 36:926–930

    Article  PubMed  CAS  Google Scholar 

  49. Baxter WF (1958) Post-traumatic superior laryngeal neuralgia. Calif Med 88:235–239

    PubMed  CAS  Google Scholar 

  50. Brownstone PK, Ballenger JJ, Vick NA (1980) Bilateral superior laryngeal neuralgia: its successful treatment with carbamazepine. Arch Neurol 37:525

    Article  PubMed  CAS  Google Scholar 

  51. Aydin O, Ozturk M, Anik Y (2007) Superior laryngeal neuralgia after acute laryngitis and treatment with a single injection of a local anesthetic. Arch Otolaryngol Head Neck Surg 133:934–935

    Article  PubMed  Google Scholar 

  52. Kodama S, Oribe K, Suzuki M (2008) Superior laryngeal neuralgia associated with deviation of the hyoid bone. Auris Nasus Larynx 35:429–431

    Article  PubMed  Google Scholar 

  53. Bagatzounis A, Geyer G (1994) Lateral pharyngeal diverticulum as a cause of superior laryngeal nerve neuralgia. Laryngorhinootologie 73:219–221

    Article  PubMed  CAS  Google Scholar 

  54. Bruyn GW (1983) Superior laryngeal neuralgia. Cephalalgia 3:235–240

    Article  PubMed  CAS  Google Scholar 

  55. Schmidt D, Strutz I (1981) Superior laryngeal neuralgia. J Neurol 225:223–225

    Article  PubMed  CAS  Google Scholar 

  56. Takahashi Sato K, Suzuki M, Izuha A, Hayashi S, Isosu T, Murakawa M (2007) Two cases of idiopathic superior laryngeal neuralgia treated by superior laryngeal nerve block with a high concentration of lidocaine. J Clin Anesth 19:237–238

    Article  PubMed  Google Scholar 

  57. Brown LA (1954) Hyoid bone syndrome. South Med J 47:1088

    Article  PubMed  CAS  Google Scholar 

  58. Steinmann EP (1968) Styloid syndrome in absence of an elongated process. Acta Otolaryngol 66:347

    Article  PubMed  CAS  Google Scholar 

  59. Kopstein E (1975) Hyoid syndrome. Arch Otolaryngol 101:484

    Article  PubMed  CAS  Google Scholar 

  60. Ernest EA III, Salter EG (1991) Hyoid bone syndrome: a degenerative injury of the middle pharyngeal constrictor muscle with photomicroscopic evidence of insertion tendinosis. J Prosthet Dent 66:78

    Article  PubMed  Google Scholar 

  61. Aydil U, Ekinci O, Köybaşioğlu A, Kizil Y (2007) Hyoid bone insertion tendinitis: clinicopathologic correlation. Eur Arch Otorhinolaryngol 264:557–560

    Article  PubMed  Google Scholar 

  62. Lim RY (1987) Carotodynia exposed: hyoid bone syndrome. South Med J 80:444

    Article  PubMed  CAS  Google Scholar 

  63. Nir D, Hefer T, Joachims HZ (1998) Hyoid bone syndrome, its treatment with nonsteroid anti-inflammatory drugs. Am J Otolaryngol 19:296

    Article  PubMed  CAS  Google Scholar 

  64. Robinson PJ, Davis JP, Fraser JG (1994) The hyoid syndrome: a pain in the neck. J Laryngol Otol 108:855

    Article  PubMed  CAS  Google Scholar 

  65. Kunachak S (1995) Anterior cervical pain syndromes: hyoid, thyroid, cricoid cartilage syndromes, their treatment with triamcinolone acetonide. J Laryngol Otol 109:49

    Article  PubMed  CAS  Google Scholar 

  66. Kunjur J, Brennan PA, Ilankovan V (2002) The use of triamcinolone in thyrohyoid syndrome. Br J Oral Maxillofac Surg 40:450–451

    PubMed  CAS  Google Scholar 

  67. Artenian DJ, Lipman JK, Scidmore GK, Brant-Zawadzki M (1989) Acute neck pain due to tendonitis of the longus colli: CT and MRI findings. Neuroradiology 31:166–169

    Article  PubMed  CAS  Google Scholar 

  68. Harnier S, Kuhn J, Harzheim A, Bewermeyer H, Limmroth V (2008) Retropharyngeal tendinitis: a rare differential diagnosis of severe headaches and neck pain. Headache 48:158–161

    PubMed  Google Scholar 

  69. Widlus DM (1985) Calcific tendonitis of the longus colli muscle: a cause of atraumatic neck pain. Ann Emerg Med 14:1014–1017

    Article  PubMed  CAS  Google Scholar 

  70. Ernest EA 3rd, Martinez ME, Rydzewski DB, Salter EG (1991) Photomicrographic evidence of insertion tendonosis: the etiologic factor in pain for temporal tendonitis. J Prosthet Dent 65:127–131

    Article  PubMed  Google Scholar 

  71. Wilk SJ (1994) Surgical management of refractory craniomandibular pain using radiofrequency thermolysis: a report of thirty patients. Cranio 12:93–99

    PubMed  CAS  Google Scholar 

  72. Kunachak S (1995) Anterior cervical pain syndromes: hyoid, thyroid and cricoid cartilage syndromes and their treatment with triamcinolone acetonide. Laryngol Otol 109:49–52

    CAS  Google Scholar 

  73. Hefer T, Nir D, Joachims HZ (1997) More about pain in the neck: thyroid cartilage and mastoid process syndromes. Laryngol Otol 111:1190–1191

    CAS  Google Scholar 

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Correspondence to Utku Aydil.

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Aydil, U., Kizil, Y. & Köybaşioğlu, A. Less known non-infectious and neuromusculoskeletal system-originated anterolateral neck and craniofacial pain disorders. Eur Arch Otorhinolaryngol 269, 9–16 (2012). https://doi.org/10.1007/s00405-011-1746-0

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