Clark H V, King D E, Yow R N
Shands Teaching Hospital, Gainesville, Fla.
Am Fam Physician. 1994 Oct;50(5):987-90.
Carotidynia has an extensive differential diagnosis, including such conditions as pharyngitis, otitis, bruxism, temporomandibular joint syndrome, neuralgia, myalgia and temporal arteritis. Carotidynia may be divided into three distinct classifications: migrainous, nonmigrainous (or classic) and arteriosclerotic. Successful treatment depends on correct classification of the disorder. Ergotamine, propranolol and tricyclic antidepressants have been effective treatments in patients with migrainous carotidynia, and steroids and nonsteroidal anti-inflammatory drugs have proved effective for the classic type of carotidynia. Further investigation is required before it can be determined if treatment for the arteriosclerotic type should be medical or surgical.
颈动脉痛的鉴别诊断范围广泛，包括咽炎、中耳炎、磨牙症、颞下颌关节综合征、神经痛、肌痛和颞动脉炎等病症。颈动脉痛可分为三种不同类型：偏头痛性、非偏头痛性（或经典型）和动脉硬化型。成功的治疗取决于对该病症的正确分型。麦角胺、普萘洛尔和三环类抗抑郁药对偏头痛性颈动脉痛患者是有效的治疗药物，而类固醇和非甾体抗炎药已被证明对经典型颈动脉痛有效。在确定动脉硬化型颈动脉痛的治疗应采用药物治疗还是手术治疗之前，还需要进一步研究。
