de Vries A C, Geuder J, Riles T S
New York University Medical Centre, New York.
Eur J Vasc Surg. 1990 Jun;4(3):325-6. doi: 10.1016/s0950-821x(05)80218-x.
Carotidynia is a syndrome of pain in the neck and face accompanied by local tenderness of the carotid artery. The symptoms are often misdiagnosed due to similarities with more common syndromes involving the cervical region. Spontaneous remission is common; more severe cases generally respond to anti-inflammatory medication or prophylactic drugs used for migraine. A case of severe carotidynia, unassociated with migraine is reported. Failure to respond to medical therapy led to surgical denervation of the carotid bulb. The immediate relief of symptoms following surgery confirms earlier observations regarding the mechanism of the symptoms. In severe cases of carotidynia, surgical denervation of the carotid artery may be indicated if medical therapy has failed.
颈动脉痛是一种颈部和面部疼痛并伴有颈动脉局部压痛的综合征。由于其症状与涉及颈部区域的更常见综合征相似，这些症状常被误诊。自发缓解很常见；较严重的病例通常对用于偏头痛的抗炎药物或预防性药物有反应。本文报告一例与偏头痛无关的严重颈动脉痛病例。药物治疗无效导致对颈动脉球进行手术去神经支配。手术后症状立即缓解证实了关于症状机制的早期观察结果。在严重的颈动脉痛病例中，如果药物治疗失败，可能需要对颈动脉进行手术去神经支配。
