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Ultrasound for the Diagnosis of Carotidynia
Author(s) -
Abrahamy Michael,
Werner Myriam,
Gottlieb Paul,
Strauss Simon
Publication year - 2017
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.1002/jum.14321
Subject(s) - medicine , tenderness , radiology , context (archaeology) , neck pain , ultrasound , lumen (anatomy) , ultrasonography , differential diagnosis , thickening , surgery , pathology , paleontology , chemistry , alternative medicine , polymer science , biology
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.