Carotidynia

Buetow, Michael P.; DeLano, Mark C.

doi:10.2214/ajr.177.4.1770947

Cited by 28 publications

(35 citation statements)

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“…In patients with history, physical, and laboratory results suggestive of carotidynia, imaging with sonography, 3 CT, 4 and MR 5 has revealed fairly consistent findings suggestive of carotid inflammation. Our case and multiple others 3-5 have demonstrated 1 or more of the following imaging findings: involvement of a contiguous segment of the distal CCA, bulb, or proximal ICA; mild luminal narrowing; concentric thickening or outward extension of the wall; and enhancing wall and fat stranding in the adjacent carotid space.…”

Section: Discussionmentioning

confidence: 90%

Resolution of Existing Intimal Plaque in a Patient with Carotidynia

Woo¹,

Jhamb²,

Heran³

et al. 2008

AJNR Am J Neuroradiol

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Section: Discussionmentioning

confidence: 90%

Resolution of Existing Intimal Plaque in a Patient with Carotidynia

Woo¹,

Jhamb²,

Heran³

et al. 2008

AJNR Am J Neuroradiol

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“…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 .…”

mentioning

confidence: 93%

“…The lack of narrowing or irregularity of the vessel lumen implies that the significant pathology lies within the carotid adventitia itself as opposed to within the vascular endothelium as in vasculitides [4][5][6][7] . The symptoms associated with carotidynia are possibly due to the expansion of the vessel wall irritating the nerves surrounding the carotid artery wall.…”

mentioning

confidence: 99%

“…Most reported cases of carotidynia have shown hypoechoic 10,11 wall thickening, some with mild luminal narrowing and an outward extension of the vessel wall. 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 .…”

mentioning

confidence: 99%

“…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 .…”

mentioning

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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Recurrent TransIent Perivascular Inflammation of the Carotid artery syndrome with temporary carotid plaque on ultrasonography: a case report

Takamura

Hori

2017

Clinical Case Reports

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Key Clinical MessageTransIent Perivascular Inflammation of the Carotid artery (TIPIC) syndrome is a rare syndrome with an unknown cause that is characterized by unilateral neck pain. Its existence as a pathological entity was controversial. We describe a 44‐year‐old male presenting with a 10‐day history of right neck pain diagnosed recurrent TIPIC syndrome with temporary carotid plaque followed by ultrasonography.

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Carotidynia

Cited by 28 publications

References 1 publication

Resolution of Existing Intimal Plaque in a Patient with Carotidynia

Resolution of Existing Intimal Plaque in a Patient with Carotidynia

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

Recurrent TransIent Perivascular Inflammation of the Carotid artery syndrome with temporary carotid plaque on ultrasonography: a case report

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