关键词: Carotid inflammation Carotidynia Neck pain TIPIC

来  源:   DOI:10.1093/mrcr/rxae031

Abstract:
We report a series of 3 cases of transient perivascular inflammation of the carotid artery (TIPIC) syndrome in an otherwise healthy individual. We would also like to review this rare entity and compare it with other similar cases reported in the literature. Our first case was a young male with right-sided neck pain of 1-week duration with magnetic resonance imaging (MRI) showing right carotid perivascular inflammation which completely resolved after 2 weeks with anti-inflammatory drugs. In the second case, a young male presented with left-sided neck pain and odynophagia of 5 days duration with an MRI showing left carotid perivascular inflammation which completely resolved after 2 weeks with anti-inflammatory drugs. In the third case a young male presented with right-sided neck pain of 1-day duration with an MRI showing right common carotid perivascular inflammation near the bifurcation with complete resolution in pain but with residual wall thickening. We want to highlight the existence of this new entity by reporting these 3 case series with a brief review of the literature. The cause and pathogenesis of this rare entity remain unknown. It has been hypothesized to be autoimmune or viral-mediated inflammation which requires further understanding.
摘要:
我们报告了其他健康个体的3例颈动脉短暂性血管周围炎症(TIPIC)综合征。我们还想回顾这种罕见的实体,并将其与文献中报道的其他类似病例进行比较。我们的第一例病例是一名年轻男性,右侧颈部疼痛持续1周,磁共振成像(MRI)显示右侧颈动脉血管周围炎症在使用抗炎药2周后完全消退。在第二种情况下,一名年轻男性出现左侧颈部疼痛和持续5天的吞咽痛,MRI显示左侧颈动脉血管周围炎症在使用抗炎药2周后完全消退.在第三种情况下,一名年轻男性表现为1天的右侧颈部疼痛,MRI显示分叉附近的右颈总血管周围炎症,疼痛完全缓解,但残留壁增厚。我们想通过简要回顾这3个案例系列来强调这个新实体的存在。这种罕见实体的病因和发病机制仍然未知。据推测是自身免疫或病毒介导的炎症,需要进一步了解。
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