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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Carotidynia is a form of vascular neck are face pain in which the vascular change occurs in the carotid artery in the neck. The disorder is not uncommon, and most patients have a prior history of migraine. They present with pain in the neck and face, and are often thought to have a disorder such as chronic sinusitis or trigeminal neuralgia. Diagnosis can be made from the type and location of the pain and the finding of a tender and swollen carotid artery on the same side. Carotidynia responds to the prophylactic medications used for migraine, often disappearing in weeks or months. In some patients the syndrome may become recurrent or chronic, with a variable response to medication.
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PMID:Carotidynia: a cause of neck and face pain. 44 85

Carotidynia is a syndrome of pain in the neck and face accompanied by local tenderness of the carotid artery. The symptoms are often misdiagnosed due to similarities with more common syndromes involving the cervical region. Spontaneous remission is common; more severe cases generally respond to anti-inflammatory medication or prophylactic drugs used for migraine. A case of severe carotidynia, unassociated with migraine is reported. Failure to respond to medical therapy led to surgical denervation of the carotid bulb. The immediate relief of symptoms following surgery confirms earlier observations regarding the mechanism of the symptoms. In severe cases of carotidynia, surgical denervation of the carotid artery may be indicated if medical therapy has failed.
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PMID:Carotidynia managed by surgical denervation of the carotid bulb. 235 31

Carotidynia is a common neck pain syndrome first described by Temple Fay in 1927. The pain is typically dull, throbbing, continuous, and localized over the carotid bifurcation, but may radiate to the ipsilateral mandible, cheek, eye, or ear. Symptoms are frequently aggravated by swallowing, chewing, and contralateral head movements. The cardinal physical finding is tenderness on palpation of the carotid bulb, sometimes accompanied by prominence or throbbing of the carotid pulse. Although several serious conditions should be excluded, most cases follow a benign course.
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PMID:Carotidynia: a pain syndrome. 793 Nov 6

Carotidynia is characterized by throbbing pain over the carotid artery and may be caused by migraine. We report a case of a 54-year-old woman with recurrent dysphonia associated with carotidynia and other features of atypical migraine that resolved after treatment with dihydroergotamine. To our knowledge, this is the first report of dysphonia associated with migraine.
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PMID:Dysphonia associated with carotidynia and migraine responding to dihydroergotamine. 1286 62

A clinical pain syndrome similar to "carotidynia" developed in a patient several years after undergoing carotid endarterectomy. The pain was reversed by superior laryngeal nerve block, followed by superior larnygeal neurectomy. A diagnosis of superior laryngeal neuralgia was suggested by several characteristic features: (1) pain along the anterior cervical triangle, with extension to the ipsilateral ear and eye, (2) hoarseness, and (3) paralysis of the ipsilateral cricothyroid muscle on laryngoscopy. Carotidynia usually refers to neck pain arising from the carotid artery in the neck and is often viewed as a migraine variant. Our observations suggest that carotidynia may not be a migraine variant and that "carotidynia" may not be an accurate term for all pains in the anterior cervical triangle. We suggest that evaluation of neck pain include speech pathology and otolaryngologic consultations (including laryngoscopy) if any voice disorder is reported or noted. Since the superior laryngeal nerve is the neural structure most contiguous to the bifurcation of the carotid artery, the superior laryngeal nerve may have become entrapped in a fibrotic process that developed after carotid endarterectomy. Such pain may be a rare complication of carotid endarterectomy. When other causes have been excluded and pain continues, a superior laryngeal nerve block should be considered.
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PMID:Superior laryngeal neuralgia: carotidynia or just another pain in the neck? 1715 38

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.
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PMID:[18F] Fluorodeoxyglucose positron-emission tomography-CT imaging of carotidynia. 1835 68

Carotidynia is a condition characterized by tenderness of the carotid artery and ipsilateral neck pain, eventually aggravated by head movements, swallowing, coughing and sneezing. We report a 52-year-old male presenting cervical pain associated with localized tenderness and reversible structural changes of the common carotid wall, emphasizing the applicability of the diagnostic imaging methods for the presumptive diagnosis of carotidynia in the appropriate clinical context.
J Headache Pain 2009 Apr
PMID:Imaging contribution for the diagnosis of carotidynia. 1919 82

Headache or pain in the face or neck attributed to the carotid or vertebral artery was not recognized as a special type of pain until the concept of carotidynia occurred in the 1960s. Carotidynia has long been assumed as an entity until modern imaging techniques showed that pain localized in the carotid region could most often be related to injury of the artery or other symptomatic causes. These causes include headache due to arterial dissection, which has been described as a true pain originating from the vessel structure itself and which has also been attributed to a comorbidity of migraine and cervical artery dissection. Furthermore, headache starting after endarterectomy, carotid angioplasty headache, headache attributed to intracranial endovascular procedures, and angiography headache have been listed among the headache and pain syndromes due to changes of the cervical arteries. It is still not clarified whether carotidynia is a specific idiopathic disease or whether the previous descriptions of carotidynia just resembled symptomatic causes of carotid pain.
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PMID:Headache attributed to carotid or vertebral artery pain. 2081 55

Carotidynia is characterised by inflammation limited to the common carotid artery, which has been recognised as a distinct disease entity by advanced vascular imaging. Although most cases of carotidynia are idiopathic, we herein present a case of carotidynia after anticancer chemotherapy. A 64-year-old male patient received docetaxel followed by granulocyte-colony stimulating factor (G-CSF) for the treatment of lung squamous carcinoma. After the treatment, bilateral cervical pain developed. Vascular imaging, including magnetic resonance imaging, computed tomography and ultrasonography, showed characteristics specific for carotidynia. Although there was no strong confirmation using tests such as a challenge test, our observations suggest that docetaxel or G-CSF could be a causative drug triggering carotidynia.
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PMID:Carotidynia after anticancer chemotherapy. 2527 42

Background Carotidynia is characterized by focal pain and tenderness of the carotid artery without associated hemodynamic or structural abnormalities. Carotid artery pathology has also been known to occur in high altitude due to aberrant baroreceptor response in the carotid bulb. Case Presentation We herein report two cases of high altitude-related idiopathic carotidynia. The first patient was a geologist who performed oil reserve survey in the Alaska Mountain, while the second patient was hiking in a mountain trail in Peru. Both patients developed acute onset of neck pain while traveling in high-altitude mountainous ranges. Carotid imaging showed transmural inflammation surrounding the carotid artery without intraluminal stenosis. Treatment with low-dose aspirin and nonsteroidal anti-inflammatory drug were initiated, which resulted in complete resolution of their symptom. Follow-up carotid ultrasound showed complete resolution of carotid inflammatory tissue density. Discussion This represents the first report linking carotidynia to high-altitude traveling.
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PMID:Carotidynia in high-altitude travelers. 2853 Apr 83


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