Recurrent Syncope Related to Carotid Compression in Eagle Syndrome: A Case Report.

Eagle syndrome is a rare disease characterised by symptoms associated with an elongated styloid process or calcification of the stylohyoid and stylomandibular ligament. Symptoms associated with Eagle Syndrome include orofacial and cervical pain, dysphagia, and pharyngeal foreign body sensation. Additionally, it can present with cerebrovascular symptoms due to the compression of adjacent neurovascular structures within the vicinity of the styloid process during rotation and extension of the neck. This report presents the case of a 33-year-old male with bilateral elongated styloid processes in whom the only symptom referred was recurrent syncope. The diagnosis was made years after the initial complaints and after several observations and imagings performed by different specialities. Surgical resection of the elongated process by the cervical approach was the treatment of choice. In patients with cerebrovascular symptoms, principally those induced by positional changes of the neck, Eagle syndrome should be considered in the differential diagnosis.

Inflammatory Presentation of a Primary Extranodal Diffuse Large B-cell Lymphoma of the Maxillary Sinus.

Diffuse large B-cell lymphoma originating from the maxillary sinus is rarely reported in the literature. Diagnosis is challenging since the long absence of signs and symptoms allows it to grow undetected or be confused with benign inflammatory conditions. The purpose of this paper is to present an unusual manifestation of this rare pathology. A patient in his 50s, presented to his local emergency department with malar and left eye pain after local trauma. Physical examination showed infraorbital edema, palpebral ptosis, exophthalmos, and left ophthalmoplegia. CT scan showed a soft tissue mass measuring 43x31 mm in the left maxillary sinus. An incisional biopsy was performed, and results showed diffuse large B-cell lymphoma with positivity for CD10+, BCL6+, BCL2+, and Ki-67 index greater than 95%. Afterward, the patient promptly started treatment with rituximab-cyclophosphamide-hydroxydaunorubicin-Oncovin-prednisone (R-CHOP) chemotherapy. A good medical history, clinical and imaging evaluations, and anatomopathological studies are crucial to establish an early diagnosis of diffuse large B-cell lymphoma (DLBCL).