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Abstract：
Transient perivascular inflammation of the carotid artery (TIPIC syndrome) is a rare, unclassified vascular syndrome that usually affects the distal part of the common carotid artery and has a favorable prognosis. The disease is often misdiagnosed even by neurologists due to the moderate intensity of clinical symptoms and their transient character. We present a case of a 52-year-old man who experienced two episodes of transient neck pain and moderate local tenderness one and a half years apart. Different imaging modalities, such as ultrasound, CT angiography, and high-resolution 3T MR, were applied to better visualize the perivascular inflammation of the common carotid arteries. Based on the clinical-radiological characteristics of our case and applying the diagnostic criteria, we established the diagnosis of TIPIC syndrome. The patient was treated with nonsteroidal anti-inflammatory drugs for few weeks, and reduction in perivascular changes was observed in both episodes. The case raises questions about the phases of the disease, its duration and the intervals between follow-ups. Our article also increases the awareness of this rare clinical-radiological entity and presents recent data from the literature.
摘要：
短暂性颈动脉周围血管炎症（TIPIC综合征）是一种罕见的，未分类的血管综合征，通常影响颈总动脉远端，预后良好。由于临床症状的中等强度及其短暂特征，即使是神经科医生也经常误诊该疾病。我们介绍了一例52岁的男子，他经历了两次短暂的颈部疼痛和中度局部压痛，相隔一年半。不同的成像模式，比如超声波，CT血管造影,和高分辨率3TMR，用于更好地可视化颈总动脉的血管周围炎症。根据我们病例的临床放射学特征并应用诊断标准，我们建立了TIPIC综合征的诊断。患者接受非甾体类抗炎药治疗数周,在两次发作中均观察到血管周围变化的减少。这个案例提出了关于疾病阶段的问题，其持续时间和随访之间的间隔。我们的文章还提高了对这种罕见的临床放射学实体的认识，并提供了文献中的最新数据。
