Radiologisk avdeling, Lovisenberg Diakonale Sykehus.
Unger-Vetlesens Institutt, Lovisenberg Diakonale Sykehus.
Tidsskr Nor Laegeforen. 2022 Jul 27;142(11). doi: 10.4045/tidsskr.21.0808. Print 2022 Aug 16.
Calcific tendinitis of the longus colli muscle is an aseptic inflammatory reaction to calcium hydroxyapatite crystal deposition in the cervical prevertebral space.
A 40-year-old woman presented with neck pain and odonyphagia. She had reduced mobility in her neck, tenderness to palpation and elevated CRP with normal leukocyte count and sedimentation rate. CT revealed a fluid collection in the retropharyngeal space and a calcific deposition in the longus colli muscle consistent with calcific tendinitis. She improved with NSAID therapy. Blood cultures taken on arrival showed no growth.
Acute calcific tendinitis of the longus colli muscle is an aseptic inflammatory process in the cervical prevertebral space and an important mimicker of retropharyngeal abscess and spondylodiscitis.
长颈肌肌腱炎是一种无菌性炎症反应，其特征是在颈椎前纵膈空间内钙羟磷灰石晶体沉积。
一名 40 岁女性因颈痛和咽痛就诊。她的颈部活动度降低，触诊时有压痛，C 反应蛋白升高，白细胞计数和沉降率正常。CT 显示咽后间隙有积液，长颈肌有钙化沉积，符合钙化性肌腱炎的表现。她接受非甾体抗炎药治疗后症状改善。入院时的血培养未见生长。
长颈肌急性钙化性肌腱炎是颈椎前纵膈空间的无菌性炎症过程，是咽后脓肿和脊椎炎的重要模拟疾病。
