Longus colli calcific tendinitis

Case contributed by Andrew Dixon
Diagnosis almost certain

Presentation

Sudden severe neck pain. No history of trauma.

Patient Data

Age: 30 years
Gender: Male

Extensive upper cervical prevertebral edema. Edema of the longus colli insertion at the anterior tubercle of C1 with the impression of small low-signal material just inferior to the tubercle on the axial images.  Appearances suggest acute longus colli calcific tendinitis.   

CT confirms the presence of amorphous uniform density calcium just below the anterior tubercle of C1 in keeping with longus colli calcific tendinitis due to hydroxyapatite deposition disease (HADD).

Case Discussion

A typical case of longus colli calcific tendinitis due to HADD

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