Department of Emergency Medicine, Massachusetts General Hospital, Division of Emergency Medicine, Harvard Medical School, Boston, MA 02114, USA.
Am J Emerg Med. 2012 May;30(4):636.e1-2. doi: 10.1016/j.ajem.2011.02.004. Epub 2011 Apr 22.
Neck pain with associated rigidity is a concerning clinical presentation that emergency physicians encounter regularly.We present the case of a 58-year-old man with acute neck pain, worsened by movement and swallowing, that was found to be secondary to acute calcific retropharyngeal tendonitis. Patients with severe neck pain, neck stiffness, and odynophagia may have this condition. The diagnosis can be confirmed with imaging, and response to conservative treatment is often dramatic.
伴有僵硬的颈部疼痛是急诊医生经常遇到的一种令人担忧的临床症状。我们介绍了一位 58 岁男性的病例,他患有急性颈部疼痛,活动和吞咽时加重,被发现是急性钙化性咽后肌腱炎的继发症状。患有严重颈部疼痛、颈部僵硬和吞咽困难的患者可能患有这种疾病。可以通过影像学检查来确诊,且对保守治疗的反应通常非常显著。