Hidden danger in neck pain: Carotidynia

Carotidynia is a neck pain syndrome, characterized by unilateral tenderness to palpation over the carotid bifurcation area. The differential diagnosis for carotidynia should be done carefully for the proper identification of this syndrome. The differential diagnosis for carotidynia includes large-vessel vasculitides such as Takayasu’s and temporal arteritis, arteriosclerosis, thrombosis, fibromuscular dysplasia, dissection and aneurysm, as well as other non-vascular diseases such as lymphoedemas, sialodenitis, thyroiditis, peritonsiller abse or neck neoplasms. Takayasu’s arteritis is a rare chronic systemic granulomatous inflammatory disease that affect the aorta and its major branchs with unknown etiology. Carotidynia may be a clinical sign of Takayasu arteritis and other large vessel vasculitides. In this study, we report ultrasonographic and magnetic resonance imaging findings in two patients with idiopatic carotidynia and Takayasu arteritis as a cause of carotidynia.

Boyun aðrýsýnda gizli tehlike: Karotidini

Karotidini, karotis bifurkasyon bölgesinin palpasyon sýrasýnda tek taraflý hassasiyetiyle karakterize bir boyun aðrýsý sendromudur. Bu sendromun doðru teþhisi için ayýrýcý tanýnýn oldukça dikkatli yapýlmasý gerekir. Karotidini için ayýrýcý tanýda, Takayasu ve temporal arteriti gibi büyük damar vaskülitleri, arterioskleroz, tromboz, fibromuskular displazi, diseksiyon ve anevrizmanýn yaný sýra non-vasküler hastalýklar; lenfödem, siyaloadenit, tiroidit, peritonsiller abse veya boyun neoplazileri sayýlabilir. Takayasu arteriti, etiyolojisi bilinmeyen aort ve ana dallarýný tutan, nadir görülen kronik sistemik granülomatöz inflamatuar bir hastalýktýr. Karotidini, Takayasu arteriti ve diðer büyük damar vaskülitlerinin klinik bir iþareti olabilir. Bu çalýþmada, idiopatik ve Takayasu arteritli olmak üzere iki karotidini olgusunun ultrasonografik ve manyetik rezonans bulgularýný sunduk.