Case contributed by Dr Mostafa Mahmoud El Feky


Bilateral upper neck pain for one week over the area of carotid bulbs, more so on the left side radiating to the left cheek. The pain is relieved when using paracetamol (acetaminophen). Smoker.

Patient Data

Age: 30 years
Gender: Male

Neck ultrasonography

Hypoechoic transmural thickening of the vascular wall at the carotid bulbs bilaterally with localized tenderness. Intact intima. This forms mild luminal narrowing.

Case Discussion

Carotidynia is a syndrome characterized by neck pain and focal tenderness at the carotid bulbs area. The etiology of this syndrome is unknown. Diagnosis can be made clinically and should be established after ruling out other more serious causes of carotid wall thickening, including large vessel vasculitides. The pain usually responds to NSAIDs or steroids.

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Case information

rID: 56213
Published: 18th Oct 2017
Last edited: 23rd Oct 2017
Inclusion in quiz mode: Included
Institution: DAR ELASHAA center

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