Ossified stylohyoid ligament

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Incidental finding on trauma cervical spine x-rays. It would be nice to say that the patient had glossopharyngeal pain, unfortunately for us (fortunately for the patient) this was not the case.

Patient Data

Age: Adult
Gender: Male

Cervical spine x-rays

x-ray

The stylohyoid ligament bilaterally is ossified, extending the styloid process almost down to the hyoid bone. 

Case Discussion

In the absence of symptoms referable to an elongated sytloid process / ossified stylohyoid ligament it is not appropriate to label these patients as having Eagle syndrome, no matter how strong the urge. 

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