Acute longus colli calcific tendonitis causing neck pain and dysphagia

2008 ◽  
Vol 138 (3) ◽  
pp. 405-406 ◽  
Author(s):  
Katherine Southwell ◽  
Jeremy Hornibrook ◽  
David O'Neill-Kerr
Keyword(s):  
Neck Pain ◽  
Longus Colli ◽  
Calcific Tendonitis

scholarly journals Calcific Tendonitis of the Longus Colli Muscle: A Noninfectious Cause of Retropharyngeal Fluid Collection

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Ronak Rahmanian ◽  
Chris Diamond
Keyword(s):  
Neck Pain ◽  
Ct Scan ◽  
Fluid Collection ◽  
Vital Signs ◽  
Retropharyngeal Abscess ◽  
Uncommon Presentation ◽  
Longus Colli ◽  
Calcific Tendonitis ◽  
Serious Disease ◽  
Intravenous Steroids

Calcific tendonitis of the longus colli (CTLC) muscle is an underrecognized cause of spontaneous acute or subacute neck pain, dysphagia, or odynophagia. Imaging may reveal a retropharyngeal fluid collection leading to the presumed diagnosis of retropharyngeal abscess. Recognition of this uncommon presentation is important to prevent unnecessary surgical incision and drainage. A 44-year-old otherwise healthy male presented with a 2-week history of progressive neck pain, stiffness, and odynophagia. A noncontrast CT scan of the cervical spine revealed a retropharyngeal fluid collection with a small area of calcification anterior to C2. There was a presumed diagnosis of retropharyngeal abscess. The patient was afebrile with normal vital signs. Flexible nasolaryngoscopy was unremarkable. C-reactive protein was elevated but all other bloodwork was normal with no evidence of an infective process. A CT scan was repeated with IV contrast showing no enhancement around the fluid collection. A diagnosis of CTLC was made. The patient was successfully managed with a short course of intravenous steroids and oral NSAIDs with complete resolution of symptoms. Clinically CTLC can mimic more serious disease processes. Identifying pathognomonic imaging findings often confirms the diagnosis. Awareness of this condition by the otolaryngologist will ensure proper patient management and avoidance of unnecessary procedures.

A case of calcific tendonitis of the longus colli muscle detected by ultrasonography

Choonpa Igaku ◽  
2010 ◽  
Vol 37 (3) ◽  
pp. 329-332
Author(s):  
Norihiro IMAI ◽  
Kinichi TAKEDA ◽  
Setsuo UTSUNOMIYA ◽  
Masahiro TAGA ◽  
Masatsugu ITOH ◽  
...  
Keyword(s):  
Longus Colli ◽  
Calcific Tendonitis ◽  
Longus Colli Muscle

scholarly journals Acute Retropharyngeal Calcific Tendonitis as a Rare Cause of Odynophagia and Neck Pain

2021 ◽  
Author(s):  
Prempreet Kaur Manjit Singh ◽  
Muhammad Irsyad Mohamed Noor ◽  
Rohaizam Jaafar ◽  
Amali Ahmad ◽  
Irfan Mohamad
Keyword(s):  
Neck Pain ◽  
Calcium Hydroxyapatite ◽  
Sudden Onset ◽  
Retropharyngeal Space ◽  
Calcific Tendonitis ◽  
Longus Colli Muscle ◽  
Waking Up ◽  
Point Tenderness ◽  
Superior Oblique ◽  
Hydroxyapatite Crystals

Retropharyngeal calcific tendonitis (RCT) is an aseptic inflammatory process of the superior oblique tendons of the longus colli muscle caused by the deposition of calcium hydroxyapatite crystals. We reported a 23-year-old woman who presented with a sudden onset of neck pain with odynophagia after waking up from sleep. Physical examination showed paracervical point tenderness with limited neck movement in all directions. Prior to surgery, further imaging was requested to aid in diagnosis, which in turn revealed RCT. It is important to be aware that RCT presentation may mimic other severe conditions such as retropharyngeal space abscess or meningitis.

scholarly journals Acute Calcific Longus Colli Tendinitis: An Underdiagnosed Cause of Neck Pain and Dysphagia

2013 ◽  
pp. 1-6 ◽  
Author(s):  
Swetha Ade ◽  
◽  
Ajay Tunguturi ◽  
Ann Mitchell
Keyword(s):  
Neck Pain ◽  
Longus Colli

scholarly journals Investigation of the morphology of longus colli among patients with neck pain using ultrasonography – a preliminary study

2013 ◽  
Vol 12 (4) ◽  
pp. 419-426
Author(s):  
RI Hussain ◽  
LJ Henry ◽  
A Ramli ◽  
SN Othman ◽  
V Mohan ◽  
...  
Keyword(s):  
Neck Pain ◽  
Healthy Subjects ◽  
Medical Science ◽  
Normal Subjects ◽  
Healthy Controls ◽  
Contraction Ratio ◽  
Longus Colli ◽  
Preliminary Study ◽  
Shape Ratio ◽  
Anterior Posterior

Objective: Longus colli provides stability to cervical spine during movements. In clinical practice, the clinicians teach exercises to longus colli to manage neck pain. The aim of this study was to investigate differences in thickness or anterior-posterior dimension (APD), shape ratio and contraction ratio of longus colli between subjects with neck pain and healthy controls. Materials and methods: A total of 12 subjects (6 with neck pain and 6 healthy controls) were recruited by predefined selection criteria. Ultrasound imaging of bilateral longus colli was conducted at the level C5-C6. Anterior-posterior dimension (APD) and lateral dimension (LD) were measured using Ultrasonography. Shape ratio (LD/APD) and contraction ratio (APD during contraction/APD during rest) were calculated. Mann-Whitney U test was used to compare the thickness of longus colli between healthy and neck pain subjects. Results and discussion: The results showed that the subjects with neck pain had smaller APD (Mean Rank=4.83, n=6) than healthy subjects (Mean Rank=8.17, n=6), U=16.00, z=-1.601 (corrected for ties), p=0.109, two tailed. Also, shape ratio showed higher values in neck pain subjects (Mean Rank=7.17, n=6) than normal subjects (Mean Rank=5.83, n=6), U=14.00, z=-0.641(corrected for ties) p=0.522, two tailed. In addition, contraction ratio was smaller in neck pain subjects (Mean Rank=4.83, n=6) than those healthy subjects (Mean Rank=8.17, n=6), U=8.00, z=- 1.601(corrected for ties) p=0.109, two tailed. Conclusion: There is a trend of reduced size of longus colli with the median of APD and smaller contraction ratio among patients with neck pain when compared to healthy controls. DOI: http://dx.doi.org/10.3329/bjms.v12i4.13692 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 419-426

Sign in / Sign up

Export Citation Format

Share Document