AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on March 20, 2008
doi: 10.3174/ajnr.A1013

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Case Report
HEAD & NECK

[18F] Fluorodeoxyglucose Positron-Emission Tomography-CT Imaging of Carotidynia

R.R. Amaravadia, S.C. Behra, P.D. Kousoubrisa and S. Rajaa

a From the Lahey Clinic Medical Center, Department of Radiology, Burlington, Mass

Please address correspondence to Raghu R. Amaravadi, MD, Lahey Clinic Medical Center, Department of Radiology, 41 Mall Rd, Burlington, MA 01805; e-mail: raghu.r.amaravadi{at}lahey.org

SUMMARY: Carotidynia is an idiopathic syndrome characterized by pain over the carotid bifurcation without associated luminal pathologic process. The classification of carotidynia as a distinct disease rather than as a symptom has generated controversy in the literature. Recent reports, however, suggest that carotidynia is a distinct disease characterized by the presence of enhancing soft tissue in the carotid sheath. We describe findings of carotidynia on positron-emission tomography and CT that further support the classification of carotidynia as a distinct inflammatory disease.