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Acute Idiopathic Carotidynia
Bronwyn E. Hamilton, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Idiopathic or sclerosing (inflammatory) pseudotumor
              • Idiopathic carotiditis
              • Fay syndrome
            • Definitions

              • International Headache Society Classification Committee (IHSCC) diagnostic criteria for carotidynia
                • Self-limited illness with ≥ 1 of following: Tenderness, swelling, ↑ pulsations over carotid
                  • Image to exclude other structural abnormality
              • Controversial diagnosis: Syndrome vs. entity
              • Some consider it subset of vasculitis

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Behar T et al: Comparative evolution of carotidynia on ultrasound and magnetic resonance imaging. J Mal Vasc. 40(6):395-8, 2015
                                          2. Young JY et al: CT findings in a patient with bilateral metachronous carotidynia. Clin Imaging. 39(2):305-7, 2015
                                          3. Berzaczy D et al: Imaging of a case of benign carotidynia with ultrasound, MRI and PET-CT. Wien Klin Wochenschr. 125(21-22):719-20, 2013
                                          4. Pina S et al: Burkitt lymphoma as a cause of carotidynia: imaging features. A case report. Neuroradiol J. 26(1):18-20, 2013
                                          5. Azar L et al: Perivascular carotid inflammation: an unusual case of carotidynia. Rheumatol Int. 32(2):457-9, 2012
                                          6. Comacchio F et al: Carotidynia: new aspects of a controversial entity. Acta Otorhinolaryngol Ital. 32(4):266-9, 2012
                                          7. Schaumberg J et al: Carotidynia: magnetic resonance imaging and ultrasonographic imaging of a self-limiting disease. Clin Neuroradiol. 21(2):91-4, 2011
                                          8. da Rocha AJ et al: Imaging contribution for the diagnosis of carotidynia. J Headache Pain. 10(2):125-7, 2009
                                          9. Park JK et al: CT imaging features of carotidynia: a case report. J Neuroimaging. 19(1):84-5, 2009
                                          10. Amaravadi RR et al: [18F.] Fluorodeoxyglucose positron-emission tomography-CT imaging of carotidynia. AJNR Am J Neuroradiol. 29(6):1197-9, 2008
                                          11. Taniguchi Y et al: Is carotidynia syndrome a subset of vasculitis? J Rheumatol. 35(9):1901-2, 2008
                                          12. Kosaka N et al: Imaging by multiple modalities of patients with a carotidynia syndrome. Eur Radiol. 17(9):2430-3, 2007
                                          13. Tardy J et al: Carotidynia: a new case for an old controversy. Eur J Neurol. 14(6):704-5, 2007
                                          14. Second Headache Classification Subcommittee of the International Headache Society. Classification and diagnosis criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia. 24 (Suppl):70-1, 2004
                                          15. Upton PD et al: Histologic confirmation of carotidynia. Otolaryngol Head Neck Surg. 129(4):443-4, 2003
                                          16. Burton BS et al: MR imaging of patients with carotidynia. AJNR Am J Neuroradiol. 21(4):766-9, 2000
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Idiopathic or sclerosing (inflammatory) pseudotumor
                                                      • Idiopathic carotiditis
                                                      • Fay syndrome
                                                    • Definitions

                                                      • International Headache Society Classification Committee (IHSCC) diagnostic criteria for carotidynia
                                                        • Self-limited illness with ≥ 1 of following: Tenderness, swelling, ↑ pulsations over carotid
                                                          • Image to exclude other structural abnormality
                                                      • Controversial diagnosis: Syndrome vs. entity
                                                      • Some consider it subset of vasculitis

                                                    IMAGING

                                                    • General Features

                                                      • Imaging Recommendations

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Behar T et al: Comparative evolution of carotidynia on ultrasound and magnetic resonance imaging. J Mal Vasc. 40(6):395-8, 2015
                                                                                  2. Young JY et al: CT findings in a patient with bilateral metachronous carotidynia. Clin Imaging. 39(2):305-7, 2015
                                                                                  3. Berzaczy D et al: Imaging of a case of benign carotidynia with ultrasound, MRI and PET-CT. Wien Klin Wochenschr. 125(21-22):719-20, 2013
                                                                                  4. Pina S et al: Burkitt lymphoma as a cause of carotidynia: imaging features. A case report. Neuroradiol J. 26(1):18-20, 2013
                                                                                  5. Azar L et al: Perivascular carotid inflammation: an unusual case of carotidynia. Rheumatol Int. 32(2):457-9, 2012
                                                                                  6. Comacchio F et al: Carotidynia: new aspects of a controversial entity. Acta Otorhinolaryngol Ital. 32(4):266-9, 2012
                                                                                  7. Schaumberg J et al: Carotidynia: magnetic resonance imaging and ultrasonographic imaging of a self-limiting disease. Clin Neuroradiol. 21(2):91-4, 2011
                                                                                  8. da Rocha AJ et al: Imaging contribution for the diagnosis of carotidynia. J Headache Pain. 10(2):125-7, 2009
                                                                                  9. Park JK et al: CT imaging features of carotidynia: a case report. J Neuroimaging. 19(1):84-5, 2009
                                                                                  10. Amaravadi RR et al: [18F.] Fluorodeoxyglucose positron-emission tomography-CT imaging of carotidynia. AJNR Am J Neuroradiol. 29(6):1197-9, 2008
                                                                                  11. Taniguchi Y et al: Is carotidynia syndrome a subset of vasculitis? J Rheumatol. 35(9):1901-2, 2008
                                                                                  12. Kosaka N et al: Imaging by multiple modalities of patients with a carotidynia syndrome. Eur Radiol. 17(9):2430-3, 2007
                                                                                  13. Tardy J et al: Carotidynia: a new case for an old controversy. Eur J Neurol. 14(6):704-5, 2007
                                                                                  14. Second Headache Classification Subcommittee of the International Headache Society. Classification and diagnosis criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia. 24 (Suppl):70-1, 2004
                                                                                  15. Upton PD et al: Histologic confirmation of carotidynia. Otolaryngol Head Neck Surg. 129(4):443-4, 2003
                                                                                  16. Burton BS et al: MR imaging of patients with carotidynia. AJNR Am J Neuroradiol. 21(4):766-9, 2000