PDF(Pubmed)
Abstract：
Transient perivascular inflammation of the carotid artery (TIPIC) is an uncommon condition characterized by inflammation of the carotid artery wall, leading to unilateral neck pain. While TIPIC has been acknowledged by the International Classification of Headache Disorders, only a few patient series have been published thus far. The clinical presentation of TIPIC syndrome typically manifests as unilateral neck pain localized specifically over the carotid artery. This pain is accompanied by ipsilateral tenderness and increased arterial pulsation. The condition commonly follows a self-limited course or demonstrates a favorable response to treatment with nonsteroidal anti-inflammatory drugs. When evaluating patients with suspected TIPIC syndrome, conducting a comprehensive assessment of their clinical history is imperative, while utilizing imaging studies to exclude any potential structural abnormalities of the carotid artery effectively. The authors present a case involving a 57-year-old woman who presented with a two-month history of persistent left cervical pain and tenderness. Ultrasonography findings revealed indirect indications of inflammation in the intima-media layer of the carotid artery, suggestive of carotidynia. Notably, other significant differential diagnoses such as aneurysms or carotid dissection were ruled out. Over the course of the evaluation, there was a gradual and spontaneous improvement in both clinical symptoms and radiological findings, indicating the resolution of the inflammatory process as confirmed by imaging follow-up. This case presents a rare and atypical manifestation of transient neck pain attributed to TIPIC.
摘要：
短暂性颈动脉周围血管炎症（TIPIC）是一种罕见的疾病，其特征是颈动脉壁的炎症，导致单侧颈部疼痛。虽然TIPIC已被国际头痛疾病分类认可，到目前为止，只有少数患者系列被发表。TIPIC综合征的临床表现通常表现为单侧颈部疼痛，特别是在颈动脉上。这种疼痛伴有同侧压痛和动脉搏动增加。这种情况通常遵循自限病程或对非甾体抗炎药治疗表现出良好的反应。在评估疑似TIPIC综合征的患者时，对他们的临床病史进行全面评估是当务之急，同时利用影像学研究有效排除任何潜在的颈动脉结构异常。作者介绍了一例涉及一名57岁妇女的病例，该妇女有两个月的持续左颈椎疼痛和压痛病史。超声检查结果显示颈动脉内中层有炎症的间接指征，暗示颈动脉痛。值得注意的是,其他显著的鉴别诊断如动脉瘤或颈动脉夹层被排除.在评估过程中，临床症状和放射学检查结果均有逐渐和自发的改善，通过影像学随访证实，表明炎症过程的消退。此病例表现为TIPIC引起的短暂性颈部疼痛的罕见且非典型表现。
