carotidynia: a rare diagnosis for unilateral neck pain revealed by cross-sectional imaging

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ID: 193925
2017
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Abstract
Idiopathic carotidynia (IC) is a rare and poorly understood syndrome consisting of unilateral neck pain, tenderness, and increased pulsations over the affected carotid bifurcation. A growing body of evidence supports the hypothesis that IC is a distinct clinicopathologic entity with characteristic imaging features. We report the case of a 34-year-old Caucasian male presenting with intense unilateral neck pain in the emergency setting. Computed tomography and ultrasonography revealed fusiform eccentric thickening of the ipsilateral carotid bifurcation without vessel narrowing. Contrast-enhanced magnetic resonance imaging depicted major perivascular enhancement without evidence of dissection. Further imaging and laboratory work-up excluded vasculitis. The diagnosis of IC was made. The patient was treated with nonsteroidal anti-inflammatory drugs and symptoms and imaging findings disappeared within a few weeks. Cross-sectional imaging allows not only ruling out IC mimickers but also making the correct diagnosis of this rare condition, in particular, as the clinical presentation of IC is often nonspecific.
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santarosa2017casecarotidynia: Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Corrado Santarosa;Salvatore Stefanelli;Roman Sztajzel;Pravin Mundada;Minerva Becker
Journal faṣlnāmah-i pizhūhish/hā-yi rāhburdī-i siyāsat
Year 2017
DOI
10.1155/2017/7086854
URL
http://dx.doi.org/10.1155/2017/7086854
Keywords
medical physics nuclear medicine medical radiology

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