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颈动脉痛——耳鼻喉科临床中一个未被探索的实体:三例病例报告及文献综述

Carotidynia - An Unexplored Entity in Otolaryngology Practice: Three Case Reports & Review of Literature.

作者信息

Sharma Raman, Kumar Pratik, Singh Divya, Meher Ravi, Kumar Jyoti

机构信息

Department of Otorhinolaryngology, Maulana Azad Medical College, New Delhi, India.

Department of Radiology, Maulana Azad Medical College, New Delhi, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4690-4695. doi: 10.1007/s12070-024-04775-9. Epub 2024 May 31.

Abstract

Carotidynia is transient perivascular inflammation of the carotid artery. It is a rare condition of head and neck associated with atypical neck pain, often unilateral. Patients with carotidynia often presents with atypical symptoms that makes the diagnosis of this rare entity difficult. In this article, we report a case series of 3 patients that presents with variable symptoms along with different investigative modalities and treatment approaches. Due to rare entity, this condition is often misdiagnosed or necessitates several visits to various specialties before a diagnosis is reached. Thorough clinical examination along with radiology is must to reach to a diagnosis. Patient should be counselled regarding the benign nature of the disease that can be easily controlled by low dose steroids.

摘要

颈动脉痛是颈动脉的短暂性血管周围炎症。它是一种罕见的头颈部疾病,伴有非典型颈部疼痛,通常为单侧。颈动脉痛患者常表现出非典型症状,这使得诊断这种罕见疾病很困难。在本文中,我们报告了一组3例患者的病例系列,这些患者表现出不同的症状,采用了不同的检查方法和治疗方法。由于这种疾病罕见,在确诊之前,它常常被误诊,或者需要多次就诊于不同专科。必须通过全面的临床检查和放射学检查才能做出诊断。应向患者说明该疾病的良性性质,低剂量类固醇可轻松控制病情。

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本文引用的文献

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Causes of Horner Syndrome: A Study of 318 Patients.霍纳综合征的病因:318 例患者研究。
J Neuroophthalmol. 2020 Sep;40(3):362-369. doi: 10.1097/WNO.0000000000000844.
4
Ultrasound for the Diagnosis of Carotidynia.超声用于诊断颈动脉痛。
J Ultrasound Med. 2017 Dec;36(12):2605-2609. doi: 10.1002/jum.14321. Epub 2017 Jul 14.
7
CT findings in a patient with bilateral metachronous carotidynia.一名双侧异时性颈动脉痛患者的CT表现。
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Idiopathic carotidynia.
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Carotidynia with carotid arterial thrombosis.伴有颈动脉血栓形成的颈动脉痛
Ann Intern Med. 2012 Dec 18;157(12):917-9. doi: 10.7326/0003-4819-157-12-201212180-00020.
10
Carotidynia: revisiting an unfamiliar entity.颈动脉痛:重新审视一个陌生的病症。
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