心因性反応を伴った茎状突起過長症の1例

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A case of elongated styloid process with psychogenic reaction is described in this paper. Elongated styloid process, which may be a result of ossification in the area of stylohyoid ligament, sometimes causes various clinically important symptoms. Many authors have reported the cases, incidence and etiologies, and have variously termed this condition according to their view points like Eagle syndrome, styloid-stylohyoid syndrome and so on.<BR>This case was a 38-year-old single woman who visited our outpatient clinic with main complaints of discomfortable feeling of throat and pain in the left inner mandibular angle when moved her jaw. The patient had been under neurological and psychosomatic care in a certain hospital because of suspected epilepsy and masked depression.<BR>Intraoral and radiological examinations revealed the presence of bilateral elongated styloid processes, while the psychic evaluation suggested a possible involvement of psychogenic reaction in the onset of this symptom.<BR>After her bilateral elongated styloid processes were surgically removed (organic factor), the psychogenic reaction was treated in our psychiatric department (mental factor). These treatments relieved all her symptoms.
社団法人日本口腔外科学会の論文