Shen Yifeng, Zhou Qiaoyin, Zhu Xinyue, Qiu Zuyun, Jia Yan, Liu Zixiang, Li Shiliang
Department of acupuncture-moxibustion, China-Japan Friendship Hospital.
Beijing University of Chinese Medicine, Beijing, China.
Medicine (Baltimore). 2018 Nov;97(45):e13130. doi: 10.1097/MD.0000000000013130.
Tendinitis of the longus colli muscle is an aseptic inflammatory process leading to acute posterior neck pain, neck stiffness, and dysphagia or odynophagia. We present a patient exhibiting an infrequent symptom, vertigo. This is the first description of the occurrence of vertigo symptoms caused by longus colli tendinitis.
A 38-year-old man was diagnosed with vertigo, presenting with a 1-month history of dizziness, palpitations, and numbness in the hands.
Longus colli tendinitis. The diagnosis was established using magnetic resonance imaging fat-suppression sequences.
Treatment with corticosteroid injections and acupotomy.
The symptoms relieved immediately after the treatment and complete resolution of the symptoms was observed after 1 week.
Longus colli tendinitis with vertigo is an under-reported condition in the literature and physicians should be aware of its existence. A lack of familiarity with the anatomy of the prevertebral space and its variable radiographic appearance makes the diagnosis of longus colli tendinitis clinically difficult. Misdiagnosis of this condition may lead to unnecessary interventions in vertigo.
颈长肌肌腱炎是一种无菌性炎症过程，可导致急性颈后部疼痛、颈部僵硬以及吞咽困难或吞咽痛。我们报告了一名出现罕见症状——眩晕的患者。这是首次对颈长肌肌腱炎引起眩晕症状的描述。
一名38岁男性被诊断为眩晕，有1个月的头晕、心悸和手部麻木病史。
颈长肌肌腱炎。通过磁共振成像脂肪抑制序列确诊。
采用皮质类固醇注射和针刀治疗。
治疗后症状立即缓解，1周后症状完全消失。
伴有眩晕的颈长肌肌腱炎在文献中报道较少，医生应了解其存在。对椎前间隙解剖结构及其多样的影像学表现缺乏了解，使得颈长肌肌腱炎的临床诊断困难。这种疾病的误诊可能导致对眩晕进行不必要的干预。
