CT findings in a patient with bilateral metachronous carotidynia

Young, Jeremy C.; Hijaz, Tarek A.; Karagianis, Achilles

doi:10.1016/j.clinimag.2014.12.001

Cited by 12 publications

(11 citation statements)

References 14 publications

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“…The case we report presented with right neck pain and history of self-limiting left neck pain, suggesting symptoms of bilateral metachronous carotidynia similar to the case reported by Young et al in 2015 [12]. The probability of recurrence of TIPIC syndrome is not well documented [7,12]. Our patient presented with recurrence of symptoms of TIPIC syndrome, more than 1 year after full clinical recovery from the previous episode.…”

Section: Discussionsupporting

confidence: 82%

“…It was previously considered to be a variant of migraine [10]. TIPIC syndrome rarely presents as a bilateral disease [11,12]. The case we report presented with right neck pain and history of self-limiting left neck pain, suggesting symptoms of bilateral metachronous carotidynia similar to the case reported by Young et al in 2015 [12].…”

Section: Discussionsupporting

confidence: 77%

“…TIPIC syndrome rarely presents as a bilateral disease [11,12]. The case we report presented with right neck pain and history of self-limiting left neck pain, suggesting symptoms of bilateral metachronous carotidynia similar to the case reported by Young et al in 2015 [12]. The probability of recurrence of TIPIC syndrome is not well documented [7,12].…”

Section: Discussionsupporting

confidence: 50%

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Role of Ultrasound in the Diagnosis and Follow-Up of Transient Perivascular Inflammation of the Carotid Artery (TIPIC) Syndrome: a Case Report

Monga

Vakharia

Hastak

et al. 2019

SN Compr. Clin. Med.

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Idiopathic carotidynia (IC) is a rare, possibly under-diagnosed clinico-radiologic entity that consists of acute unilateral neck pain and tenderness over the carotid bifurcation. Lecler et al. have recently described this condition associated with characteristic imaging features of transient perivascular soft tissue inflammation at the level of the affected carotid bifurcation, by a new term TIPIC (transient perivascular inflammation of the carotid artery) syndrome. We report the case of an Indian man, with recurrent right-sided TIPIC syndrome and past history of transient left-sided symptoms. On initial presentation, the clinical history, ultrasound (US) features, magnetic resonance imaging (MRI) findings, and laboratory investigations of the patient were correlated to establish the diagnosis of TIPIC syndrome. Doppler US was performed for imaging follow-up of this patient, when he presented again with recurrence of similar symptoms of right neck pain. In this 45-year-old patient, US demonstrated a characteristic perivascular echogenic soft tissue around the symptomatic carotid artery. MRI confirmed these imaging findings and ruled out carotid dissection. Patient responded to antiinflammatory medications. Recurrence and resolution of the soft tissue thickening surrounding the affected carotid arteries were documented on serial follow-up US examinations. This case report illustrates that US can be effectively used in the diagnosis as well as follow-up of TIPIC syndrome.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 50%

See 1 more Smart Citation

Role of Ultrasound in the Diagnosis and Follow-Up of Transient Perivascular Inflammation of the Carotid Artery (TIPIC) Syndrome: a Case Report

Monga

Vakharia

Hastak

et al. 2019

SN Compr. Clin. Med.

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“…If this treatment proves ineffective, a short course of steroids is then recommended . Biopsy of suspected cases should not be routinely performed because of the potential of biopsy‐related morbidity …”

Section: Discussionmentioning

confidence: 99%

“…14 Biopsy of suspected cases should not be routinely performed because of the potential of biopsy-related morbidity. 16 Strengths of our series included its larger number of patients in comparison to single case reports and its exclusive focus on the sonographic imaging results. Our series; however, had certain limitations.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound for the Diagnosis of Carotidynia

Abrahamy

Werner

Gottlieb

et al. 2017

J of Ultrasound Medicine

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The purpose of this work is to draw attention to the characteristic sonographic features of carotidynia, which, in the context of a typical clinical picture support its diagnosis. Six patients presented with primary symptoms of neck pain and focal tenderness. In all patients, focal wall thickening of the distal end of the common carotid artery was found exactly in the region of tenderness, leading to mild lumen narrowing. Treatment with nonsteroidal anti-inflammatory drugs or glucocorticoids led to full symptom resolution. Carotidynia will often be encountered first on sonography performed for evaluation of neck pain and has a characteristic sonographic appearance.

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