A controversial entity, Eagle's syndrome, is reviewed. After an anatom
ical description of the maxillo-vertebro-pharyngeal region we summariz
e the causative, diagnostic and therapeutic aspects of the syndrome. T
wo different conditions are often reported as Eagle's syndrome: one ch
aracterized by dysphagia and unilateral pharyngeal pain radiating to t
he ear and worsened by swallowing; the other characterized by pain in
the head and neck region due to compression of the neurovascular struc
ture by an elongated styloid process. The latter also includes typical
cranial neuralgias (such as glossopharyngeal neuralgia) and carotidyn
ia We believe that the term ''Eagle's syndrome'' is legitimate only in
the first case and in those ''atypical'' painful head and neck condit
ions related to an elongated styloid process and relieved by styloidec
tomy. We believe Eagle's syndrome deserves consideration in the Intern
ational Headache Classification.