Carotidynia in high-altitude travelers

Vascular
Andrea ParraPeter H Lin

Abstract

Background Carotidynia is characterized by focal pain and tenderness of the carotid artery without associated hemodynamic or structural abnormalities. Carotid artery pathology has also been known to occur in high altitude due to aberrant baroreceptor response in the carotid bulb. Case Presentation We herein report two cases of high altitude-related idiopathic carotidynia. The first patient was a geologist who performed oil reserve survey in the Alaska Mountain, while the second patient was hiking in a mountain trail in Peru. Both patients developed acute onset of neck pain while traveling in high-altitude mountainous ranges. Carotid imaging showed transmural inflammation surrounding the carotid artery without intraluminal stenosis. Treatment with low-dose aspirin and nonsteroidal anti-inflammatory drug were initiated, which resulted in complete resolution of their symptom. Follow-up carotid ultrasound showed complete resolution of carotid inflammatory tissue density. Discussion This represents the first report linking carotidynia to high-altitude traveling.

References

Apr 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·C R Cannon
Mar 22, 2008·AJNR. American Journal of Neuroradiology·R R AmaravadiS Raja
Oct 23, 2013·Wiener klinische Wochenschrift·Dominik BerzaczyGerd Bodner
Oct 3, 2014·Singapore Medical Journal·Shinichi HayashiShu Hashimoto
Jul 15, 2015·Journal des maladies vasculaires·T BeharJ-P Galanaud
Nov 2, 2016·Journal of Travel Medicine·Shreeyukta BhattaraiPrativa Pandey

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Citations

Nov 25, 2018·Clinical Neuroradiology·Sila UlusErcan Karaarslan

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