Idiopathic inflammatory pseudotumor of the carotid sheath

Farage, Luciano; Motta, A.; Goldenberg, David; Aygün, Nafi; Yousem, David M.

doi:10.1590/s0004-282x2007000700030

Cited by 17 publications

(20 citation statements)

References 12 publications

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“…More recently, Farage et al performed a biopsy on their case after eight days of steroid and antibiotic treatment. The biopsy revealed only chronic inflammation without evidence of granuloma 9 . In our case, the soft tissue cuff around the carotid was hyperechoic on ultrasound, hypodense on CT, hypointense on T1, hyperintense on T2, and enhanced on T1 post gadolinium.…”

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confidence: 92%

“…Most have reported hypodensity of the soft tissue on CT 6,12 . On MR, there have been reports of both T2 hyperintensity 4,6 and T2 hypointensity 9 . On T1, most report the soft tissue to be hypointense or isointense 4,9 .…”

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confidence: 99%

“…On MR, there have been reports of both T2 hyperintensity 4,6 and T2 hypointensity 9 . On T1, most report the soft tissue to be hypointense or isointense 4,9 . Enhancement with gadolinium appears to be a constant finding 4,6,9 .…”

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confidence: 99%

“…On T1, most report the soft tissue to be hypointense or isointense 4,9 . Enhancement with gadolinium appears to be a constant finding 4,6,9 . There is one report of carotidynia demonstrating activity on fluorodeoxyglucose-18 PET imaging 13 .…”

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confidence: 99%

“…Our patient and those of other authors 13 received no treatment and the disease resolved on its own. Others have treated with calcium channel blockers 14 , steroids 9,15 , triptans 16 , and nonsteroidal anti-inflammatory drugs 17 , also with resolution. Whether these cases would have resolved without treatment is unknown.…”

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confidence: 99%

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CTA, MR, and MRA Imaging of Carotidynia: Case Report

Lee

Swartz²,

McEvilly³

et al. 2009

Can. J. Neurol. Sci

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Carotidynia is a term first coined by Fay in 1927 1 to describe a particular type of idiopathic neck pain, tending to be unilateral and associated with tenderness to palpation over the carotid bifurcation. This reproduction of pain with palpation later came to be known as a positive Fay sign. Patients are afebrile and lack any other systemic symptoms associated with infection or malignancy. Despite this characterization, a large differential diagnosis exists. There are a number of case studies on the subject of carotidynia. Included in these reports are various debates as to the existence of carotidynia as a distinct pathological entity, a "catch all" description of symptoms produced by different etiologies, or simply a poorly understood syndrome. In 1988, the International Headache Society accepted acute idiopathic carotidynia as a valid entity and defined a set of four criteria 2 : A. At least one of the following overlying the carotid artery: 1. tenderness, 2. swelling, or 3. increased pulsations; B. Appropriate investigations not revealing a structural abnormality; C. Pain over the affected side of the neck; may project to the ipsilateral side of the head; D. A self-limiting syndrome of less than two weeks duration. Explicit to these original criteria is the understanding that other organic diseases in the differential diagnosis have been ruled out. This includes a variety of vascular, inflammatory, neoplastic, neurologic and musculoskeletal conditions, including vascular injury and dissection. In 2004, carotidynia was removed from this society's diagnostic criteria after cases were reported with imaging findings 3. The current understanding of carotidynia as a clinical syndrome has been criticized for its lack of attention to imaging characteristics. There have been case reports demonstrating imaging findings on ultrasound, computed tomography (CT), computed tomography angiography (CTA), magnetic resonance (MR), magnetic resonance angiography (MRA), and positron emission tomography (PET). In effect, carotidynia by definition is a symptom of pain, yet it is also the name for the specific diagnosis of an inflammatory carotid wall disease that is the subject of this report. In the following case study, we describe clinical findings of a patient diagnosed with carotidynia who presented with neck pain, and demonstrate the CTA, MR, and MRA imaging including follow-up imaging. CASE REPORT A 51-year-old woman developed sudden onset of pain on the left side of her neck while lying in bed one evening. She THE CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES

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confidence: 92%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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CTA, MR, and MRA Imaging of Carotidynia: Case Report

Lee

Swartz²,

McEvilly³

et al. 2009

Can. J. Neurol. Sci

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Imaging Spectrum of TIPIC Syndrome

et al. 2018

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Less known non-infectious and neuromusculoskeletal system-originated anterolateral neck and craniofacial pain disorders

Aydíl

Kızıl

Köybaşıoğlu

2011

Eur Arch Otorhinolaryngol

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Pain syndromes of neuromusculoskeletal origin are not well-known by most of the clinicians working on head and neck area. As a result, most of the patients with these syndromes are either overlooked without having any treatment or they inappropriately have antibiotic treatments or surgical interventions such as dental extractions and tonsillectomies. Better recognition of the pain syndromes of the neck and face region or entities related to neuromusculoskeletal system may result in more appropriate and effective management of such conditions while avoiding unnecessary medical and surgical treatments. In this review, causes, clinical characteristics, diagnostic and treatment modalities of relatively less known craniofacial and neck pain entities including Eagle syndrome, carotidynia, glossopharyngeal neuralgia, superior laryngeal neuralgia, hyoid bone syndrome, acute calcific retropharyngeal tendinitis, temporal tendinitis, thyroid and cricoid cartilage syndromes, and mastoid process syndrome are summarized.

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Idiopathic inflammatory pseudotumor of the carotid sheath

Cited by 17 publications

References 12 publications

CTA, MR, and MRA Imaging of Carotidynia: Case Report

CTA, MR, and MRA Imaging of Carotidynia: Case Report

Imaging Spectrum of TIPIC Syndrome

Less known non-infectious and neuromusculoskeletal system-originated anterolateral neck and craniofacial pain disorders

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