Comparative evolution of carotidynia on ultrasound and magnetic resonance imaging

T Behar; N Menjot; J-P Laroche; B Böge; I Quéré; J-P Galanaud

doi:10.1016/j.jmv.2015.06.001

Comparative evolution of carotidynia on ultrasound and magnetic resonance imaging

J Mal Vasc. 2015 Dec;40(6):395-8. doi: 10.1016/j.jmv.2015.06.001. Epub 2015 Jul 7.

Authors

T Behar¹, N Menjot², J-P Laroche³, B Böge³, I Quéré³, J-P Galanaud³

Affiliations

¹ Clinical investigation center and department of internal medicine, hôpital de Montpellier, university hospital, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 05, France. Electronic address: t-behar@chu-montpellier.fr.
² Department of neuroradiology, university hospital, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 05, France.
³ Clinical investigation center and department of internal medicine, hôpital de Montpellier, university hospital, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 05, France.

PMID: 26163344
DOI: 10.1016/j.jmv.2015.06.001

Abstract

Carotidynia is rare and associates neck pain with tenderness to palpation usually over the carotid bifurcation, the diagnosis of which is based on magnetic resonance imaging (MRI). Ultrasounds (US) are also frequently used but their accuracy in predicting the course of the disease is unknown. We are reporting the case of a 52-year-old man who presented a typical carotidynia. Clinical symptoms, ultrasound and MRI imaging evolution were closely correlated. Our case suggest that after a first MRI to set a positive diagnosis of carotidynia and exclude differential diagnoses, US which is more widely available and less expensive could constitute the imaging of reference for the follow-up.

Keywords: Carotidynia; Carotidynie; Follow-up; Imagerie par résonance magnétique; Magnetic resonance imaging; Suivi; Ultrasonography; Échographie.

Publication types

Case Reports
Comparative Study

MeSH terms

Analgesics / therapeutic use
Anti-Inflammatory Agents, Non-Steroidal
Antiphospholipid Syndrome / complications
Arteritis / diagnosis*
Arteritis / diagnostic imaging
Arteritis / pathology
Carotid Artery Diseases / diagnosis*
Carotid Artery Diseases / diagnostic imaging
Carotid Artery Diseases / pathology
Carotid Artery, Common / diagnostic imaging
Carotid Artery, Common / pathology
Carotid Artery, Internal / diagnostic imaging
Carotid Artery, Internal / pathology
Contraindications
Diagnosis, Differential
Humans
Lymphoma, B-Cell / complications
Magnetic Resonance Imaging*
Male
Middle Aged
Neck Pain / diagnostic imaging
Neck Pain / etiology*
Neck Pain / pathology
Oxazolidinones / therapeutic use
Thyroiditis / diagnosis
Tryptamines / therapeutic use
Ultrasonography, Doppler, Duplex*

Substances

Analgesics
Anti-Inflammatory Agents, Non-Steroidal
Oxazolidinones
Tryptamines
zolmitriptan