A Case of Carotidynia Mimicking Trigeminal Neuralgia
Journal of the Korean Neurological Association
;
: 928-930, 1999.
Artículo
en Coreano
| WPRIM
| ID: wpr-45501
ABSTRACT
Carotidynia is defined as an atypical craniofacial pain syndrome caused by the dilatation or distension of the extracranial arteries. We report an unusual case of carotidynia mimicking trigeminal neuralgia caused by an arterioscle-rotic tortous carotid artery. A 68-year-old woman suffered from frequent episodes of severe electrical shock-like radiating pain around her left ophthalmic and maxillary division of the trigeminal nerve for 5 years. Initially, under the impression of trigeminal neuralgia, carbamazepine was tried. She was reevaluated due to an unsatisfactory pharmacological response. On examination, no abnormalities were found on the craniofacial region except for a tortous pulsating tender mass on the region of the left carotid artery. Routine laboratory findings and a connective tissue study were normal. Neck sonography and a 4-vessel angiography showed a tortous left internal carotid artery with stenosis extending near to the skin. The patient was treated for 2 weeks with a nonsteroidal anti-inflammatory agent, steroids, a prophylctic beta blocker, and a TCA antidepressant. The pain gradually subsided.
Texto completo:
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Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Arterias
/
Piel
/
Esteroides
/
Nervio Trigémino
/
Neuralgia del Trigémino
/
Carbamazepina
/
Angiografía
/
Arterias Carótidas
/
Arteria Carótida Interna
/
Tejido Conectivo
Límite:
Anciano
/
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Neurological Association
Año:
1999
Tipo del documento:
Artículo
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