Idiopathic Carotidynia.
Idiopathic carotidynia is a syndrome characterized by pain and tenderness over the carotid artery without an associated structural luminal abnormality. Controversy exists over whether this is a distinct disease entity or merely a symptom attributable to other causes of neck pain, such as carotid dissection or vasculitis. A 50-year-old woman presented with sudden-onset right neck pain. Imaging studies demonstrated transmural inflammation of the proximal internal carotid artery, without evidence of intraluminal pathology. The patient was placed on low-dose aspirin and ibuprofen. Her symptoms resolved within a week. At 3-month follow-up, her carotid artery appeared normal on duplex ultrasonography.
1 Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY, USA.
Aleksandra
A
Policha
2 Department of General Surgery, New York University Langone Medical Center, NY, USA.
David
D
Williams
1 Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY, USA.
Mark
M
Adelman
1 Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY, USA.
Frank
F
Veith
1 Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY, USA.
Neal S
NS
Cayne
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D001241:Aspirin / Q000008:administration & dosage; D001783:Blood Flow Velocity; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000503:physiopathology; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000503:physiopathology; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007052:Ibuprofen / Q000008:administration & dosage; D008875:Middle Aged; D019547:Neck Pain / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000503:physiopathology; D012039:Regional Blood Flow; D012074:Remission Induction; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color
D000894:Anti-Inflammatory Agents, Non-Steroidal; D001241:Aspirin; D007052:Ibuprofen
carotid artery; carotidynia; ultrasound