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“颈动脉短暂性血管周围炎症(TIPIC)综合征”作为颈侧疼痛的罕见病例:多模式诊断

"TransIent perivascular inflammation of the carotid artery (TIPIC) syndrome" as a rare case of laterocervical pain: Multimodal diagnosis.

作者信息

Maggialetti Nicola, De Marco Ilaria, Sasso Sara, Farchi Giuseppe, Ianora Amato Antonio Stabile, Lucarelli Nicola Maria, Scardapane Arnaldo

机构信息

Department of Basic Medical Sciences, Neuroscience and Sense Organs (DSMBNOS), Section of Radiodiagnostic, University of Bari Medical School ``Aldo Moro", Piazza Giulio Cesare 11, 70124, Bari, Italy.

Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School "Aldo Moro", Piazza Giulio Cesare 11, 70124, Bari, Italy.

出版信息

Radiol Case Rep. 2022 May 6;17(7):2378-2382. doi: 10.1016/j.radcr.2022.04.021. eCollection 2022 Jul.

Abstract

''TransIent Perivascular Inflammation of the Carotid artery (TIPIC) syndrome" is an unusual cause of unilateral neck pain, due to a nonspecific inflammation of the carotid artery. This entity has been for long known as "carotidynia" and described as a syndrome rather than a distinct pathologic entity. Recently, the presence of structural abnormalities of the carotid artery wall has been demonstrated, leading to the introduction of radiological criteria which, in the appropriate clinical context, allow to diagnose TIPIC syndrome. TIPIC syndrome is a rather rare disease and, since its first description by Fay in 1927, only a small series of patients have been published. The interest of our case lies in the fact that diagnosis and follow-up were assessed on ultrasound and magnetic resonance imaging, demonstrating that a correlation between clinical evolution and radiological findings does exist. In addition, DWI sequence was performed at the time of diagnosis and at resolution. To our knowledge, such an assessment has never been reported in the previous literature.

摘要

“颈动脉短暂性血管周围炎症(TIPIC)综合征”是单侧颈部疼痛的一种罕见病因,由颈动脉非特异性炎症引起。该病症长期以来被称为“颈动脉痛”,并被描述为一种综合征而非一种独特的病理实体。最近,已证实颈动脉壁存在结构异常,从而引入了影像学标准,在适当的临床背景下,这些标准有助于诊断TIPIC综合征。TIPIC综合征是一种相当罕见的疾病,自1927年Fay首次描述以来,仅有一小系列患者被报道。我们这个病例的意义在于,通过超声和磁共振成像对诊断和随访进行了评估,证明临床病程与影像学表现之间确实存在相关性。此外,在诊断时和病情缓解时均进行了弥散加权成像(DWI)序列检查。据我们所知,此前的文献中从未有过这样的评估报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/443d/9096471/089a8ce6a024/gr1.jpg

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