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 Retropharyngeal tendinitis: Hydroxyapatite deposition driven headache and nuchal rigidity resolves with prednisone

2017 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Abhimanyu Amarnani ◽  
Yair Saperstein ◽  
Isabel M McFarlane ◽  
David J Ozeri
Keyword(s):  
Neck Pain ◽  
Clinical Work ◽  
Sudden Onset ◽  
Retropharyngeal Abscess ◽  
Retropharyngeal Space ◽  
Empirical Antibiotic Treatment ◽  
Nuchal Rigidity ◽  
Calcific Tendonitis ◽  
Retropharyngeal Tendinitis ◽  
Work Up

We present a case of a 42-year-old woman who presented with sudden onset severe headache, neck pain, and nuchal rigidity associated with dysphagia. The initial differential in this patient included meningitis or retropharyngeal abscess, and an extracranial neck CT showed an ill-defined hypo-attenuated lesion within the retropharyngeal space. However, the neck pain and dysphagia were unresponsive to empirical antibiotic treatment and pain management. Further CT with contrast identified acute calcific tendonitis of the longus colli tendon, also known as retropharyngeal tendonitis (RCT). Although RCT is already known as a rare, self-limiting inflammatory condition, we present a new case of RCT, with the uncommon features of headache and nuchal rigidity in an aseptic patient, while providing a diagnostic flow chart to guide the clinical work-up of similar presentations to also include RCT.

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

Neurofibromatosis type 1 with subarachnoid haemorrhage from the left vertebral arteriovenous fistula: case presentation and literature review

2021 ◽  
Vol 14 (2) ◽  
pp. e239880
Author(s):  
Toshinori Nishizawa ◽  
Takahiro Tsuchiya ◽  
Yoshihiro Terasawa ◽  
Yasuhiro Osugi
Keyword(s):  
Neck Pain ◽  
Subarachnoid Haemorrhage ◽  
Arteriovenous Fistula ◽  
Neurofibromatosis Type 1 ◽  
Epidural Haematoma ◽  
Neurofibromatosis Type ◽  
Sudden Onset ◽  
Vertebral Arteriovenous Fistula ◽  
First Case

We present the case of a 47-year-old woman with neurofibromatosis type 1 (NF1) with subarachnoid haemorrhage (SAH) from the left vertebral arteriovenous fistula, along with a review of previous cases. Our patient had a family history of NF1 and presented to the emergency department with a sudden-onset severe headache and neck pain. CT scan showed SAH. CT angiography revealed a left vertebral arteriovenous fistula and an epidural haematoma. She underwent direct surgery and was discharged without neurologic deficits. To our knowledge, this is the first case of SAH caused by perimedullary drainage of a vertebral arteriovenous fistula associated with NF1. In a literature search, we identified 40 cases of vertebral arteriovenous fistula associated with NF1. The majority of vertebral arteriovenous fistulas occurred on the left side and in women. Patients with vertebral arteriovenous fistula typically experience neck pain, radiculopathy, radiculomyelopathy and bruits.

scholarly journals Idiopathic Isolated Acquired Steroid Dependent SO Palsy: A Rare Case Report

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Isha Agarwal ◽  
Mayuresh Naik ◽  
HarinderSingh Sethi
Keyword(s):  
Body Weight ◽  
Oral Prednisolone ◽  
Final Diagnosis ◽  
Sudden Onset ◽  
Step Test ◽  
Superior Oblique Palsy ◽  
Steroid Dependent ◽  
Rare Case Report ◽  
Oral Steroids ◽  
Superior Oblique

15-year-old boy presented with sudden onset, stable, nonprogressive painless diplopia (greatest in right gaze and inferior field of view) and hyperdeviation of left eye for a year. On ophthalmic examination, the patient had uncrossed diplopia with tilt and separation maximum in dextrodepression. On Park’s three step test, left eye hypertropia increased on right gaze and left tilt suggestive of left superior oblique (SO) palsy. On prism bar cover test (PBCT), deviation was more than 25 PD base-down over the left eye for both distance and near in all gazes. MRI head and orbit revealed a normal study while the myasthenia and inflammatory work-up was unremarkable. A provisional diagnosis of “Idiopathic Acquired Left Superior Oblique Palsy” was made and the patient was given trial of oral steroids at 1 mg/kg body weight. At 6 weeks, patient’s diplopia resolved and PBCT neutralised at 6PD. Oral steroids were gradually tapered off by 10 mg per week with weekly follow-up. Upon decreasing the dose of prednisolone to 5 mg, intermittent diplopia and 18 PD left hypertropia reappeared. When patient was again restarted on oral steroids at 1 mg/kg body weight, diplopia-hypertropia disappeared at 10 mg OD prednisolone only to reappear at 5 mg OD dosage, leading to the final diagnosis of a “Steroid Dependent Isolated Superior Oblique Palsy”. Presently, the patient is maintained on a daily dose of 10 mg oral prednisolone.

scholarly journals Using MRI to detect and differentiate calcium oxalate and calcium hydroxyapatite crystals in air-bubble-free phantom

2015 ◽  
Vol 31 (8) ◽  
pp. 1075-1079 ◽  
Author(s):  
Devkumar Mustafi ◽  
Xiaobing Fan ◽  
Bo Peng ◽  
Sean Foxley ◽  
Jeremy Palgen ◽  
...  
Keyword(s):  
Calcium Oxalate ◽  
Calcium Hydroxyapatite ◽  
Air Bubble ◽  
Hydroxyapatite Crystals
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