Artenian D J, Lipman J K, Scidmore G K, Brant-Zawadzki M
Department of Radiology, Hoag Memorial Hospital Presbyterian, Newport Beach, California.
Neuroradiology. 1989;31(2):166-9. doi: 10.1007/BF00698847.
Calcific retropharyngeal tendonitis is an under-recognized cause of acute cervical pain produced by inflammation of the longus colli muscle. Although the clinical presentation may mimic more serious disorders, the diagnosis can be established radiographically by identification of prevertebral soft tissue calcification and swelling. Six patients with typical signs and symptoms of retropharyngeal tendonitis are presented. All were evaluated with plain films, four with CT and one with MRI. The pathognomonic finding of amorphous calcification anterior to C1-2 with associated asymmetric soft tissue swelling was clearly demonstrated by CT. Diffuse swelling of the longus colli muscle was shown as prominent high signal in the prevertebral region by T2 weighted MRI.
钙化性咽后肌腱炎是由颈长肌炎症引起的急性颈部疼痛的一种未被充分认识的病因。尽管临床表现可能类似更严重的疾病，但通过影像学检查发现椎前软组织钙化和肿胀可确立诊断。本文介绍了6例具有典型咽后肌腱炎体征和症状的患者。所有患者均接受了X线平片检查，4例接受了CT检查，1例接受了MRI检查。CT清晰显示了C1-2前方无定形钙化及相关不对称软组织肿胀这一特征性表现。T2加权MRI显示颈长肌弥漫性肿胀在椎前区域表现为明显的高信号。
