Wu Hao, Liu Wen, Mi Lei, Liu Qi
Department of Neurosurgery, Graduate School of Dalian Medical University, Dalian 116044, Liaoning Province, China.
Department of Imaging, The First Hospital of Yu Lin, Yulin 718000, Shaanxi Province, China.
World J Clin Cases. 2023 Jun 26;11(18):4419-4424. doi: 10.12998/wjcc.v11.i18.4419.
Longus colli tendinitis (LCT) with dyspnea is a relatively less-reported condition in the literature, and physicians should be aware of its existence. Misdiagnosis of this condition may cause unnecessary treatment for dyspnea.
Herein, we report the case of a 40-year-old man with acute neck tendonitis. The patient presented to the pneumology department clinic with a complaint of acute neck tendonitis with dyspnea. An emergency cervical magnetic resonance examination was performed, and the preliminary diagnosis was "acute longus cervicalis tendinitis." After aggressive medical treatment, the symptoms obviously improved.
LCT is a self-limiting disease that usually improves after three to seven days of conservative treatment following a definite diagnosis. However, owing to its insidious onset and complex clinical manifestations, most relevant personnel are not fully understood. The definite diagnosis of LCT is based on a comprehensive understanding of the triad, rare symptoms, and the clear identification of cervical 1 and 2 levels calcification and prevertebral edema by medical imaging examination, especially magnetic resonance imaging and computed tomography.
伴有呼吸困难的颈长肌肌腱炎(LCT)在文献中报道相对较少,医生应了解其存在。该病症的误诊可能导致对呼吸困难进行不必要的治疗。
在此,我们报告一例40岁急性颈部肌腱炎男性患者。该患者因急性颈部肌腱炎伴呼吸困难就诊于呼吸内科门诊。进行了急诊颈椎磁共振检查,初步诊断为“急性颈长肌肌腱炎”。经过积极的药物治疗,症状明显改善。
LCT是一种自限性疾病,确诊后经三至七天保守治疗通常会改善。然而,由于其起病隐匿且临床表现复杂,大多数相关人员对此并未充分了解。LCT的确诊基于对三联征、罕见症状的全面了解,以及通过医学影像检查,尤其是磁共振成像和计算机断层扫描,明确识别颈椎1、2水平的钙化和椎体前水肿。