Policha Aleksandra, Williams David, Adelman Mark, Veith Frank, Cayne Neal S
1 Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY, USA.
2 Department of General Surgery, New York University Langone Medical Center, NY, USA.
Vasc Endovascular Surg. 2017 Apr;51(3):149-151. doi: 10.1177/1538574417697212.
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.
特发性颈动脉痛是一种以颈动脉疼痛和压痛为特征的综合征，无相关的管腔结构异常。对于这是一种独特的疾病实体还是仅仅是由颈部疼痛的其他原因（如颈动脉夹层或血管炎）引起的症状，存在争议。一名50岁女性出现突发的右侧颈部疼痛。影像学检查显示颈内动脉近端透壁性炎症，无腔内病变证据。该患者接受低剂量阿司匹林和布洛芬治疗。她的症状在一周内缓解。在3个月的随访中，双功超声检查显示她的颈动脉正常。
