Calcific retropharyngeal tendinitis of the longus colli muscle. Answer to the e-quid “Acute cervical pain and dysphagia in a 43 year-old man”

Desmots, F.; Derkenne, R.; Couppey, N.; Martin, Brigitte; Gabaudan, C.; Geffroy, Y.

doi:10.1016/j.diii.2012.09.006

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…The mainstay treatment of this condition has been conservative non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics 4 5 14. In the present case, we utilised an alternate regimen consisting of oral steroid, benzodiazepine and aural acupuncture, to yield similar results.…”

Section: Discussionmentioning

confidence: 99%

“…The condition may present in males or females aged 21–81 years, with most being 30 –60 years 2. ACLCT is a self-limiting condition that can be treated with conservative management, thus misdiagnosis (eg , cervical disc herniation, retropharyngeal abscess, meningismus, infectious spondylitis, oropharyngeal and spinal neoplasia, and trauma) or failure to recognise this condition can lead to unnecessary treatment including surgical interventions 3 4. It is our hope that this case report will help aid in the recognition of this rare disease, and we offer a novel approach to management.…”

Section: Introductionmentioning

confidence: 99%

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Unusual case of acute neck pain: acute calcific longus colli tendinitis

Joshi

Fomin

Joshi³

et al. 2016

BMJ Case Reports

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Acute calcific longus colli tendinitis (ACLCT), a very rare cause of severe neck pain, dysphagia and odynophagia, is often mistaken for other common causes of neck pain. However, prompt recognition of this uncommon presentation is important to prevent unnecessary medical and surgical intervention. A 46-year-old Caucasian man presented with a 1-day history of severe neck pain, headache and odynophagia. The patient was afebrile with stable vital signs, however, the laboratory data showed mildly elevated C reactive protein and erythrocyte sedimentation rate. The physical examination was remarkable for markedly reduced cervical range of motion. MRI revealed the pathognomonic findings of paravertebral oedema and calcification. The definitive diagnosis of ACLCT was made and the patient was successfully managed with a short course of oral steroid, benzodiazepine and aural acupuncture, with complete resolution of the condition within a week.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Unusual case of acute neck pain: acute calcific longus colli tendinitis

Joshi

Fomin

Joshi³

et al. 2016

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…Acute calcific tendinitis of the longus colli muscle (or retropharyngeal tendinitis) is an aseptic inflammatory process caused by calcium hydroxyapatite crystal deposition in the longus colli tendon. It is typically observed between ages 30 and 60 years , and presents as neck pain, limited neck movement, and dysphagia or odynophagia . During diagnosis, this condition should be differentiated from retropharyngeal abscess, cervical osteomyelitis, spondylodiscitis, retro‐odontoid pseudotumor, crowned dens syndrome, and meningitis.…”

mentioning

confidence: 99%

Acute Calcific Tendinitis of the Longus Colli Muscle

Suyama

Kishimoto

Nozaki

et al. 2015

Arthritis & Rheumatology

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Clinical Images: Acute calcific tendinitis of the longus colli muscleThe patient, a 32-year-old man, presented with a 1-month history of severe pain in the posterior neck and shoulder without evidence of any trigger. He also experienced mild odynophagia while drinking water. Physical examination revealed a markedly reduced active range of cervical motion. No fever was noted, and laboratory tests revealed a normal complete blood cell count, erythrocyte sedimentation rate, and C-reactive protein level. Sagittal T2-weighted magnetic resonance imaging of the cervical spine revealed a lowintensity nodular lesion around the C2 body (arrow in A); computed tomography (CT) of the neck revealed a large, oval calcification, inferior to the anterior arch of the C1 body (arrows in B and C). Thus, the patient was diagnosed as having calcific tendinitis of the longus colli muscle. The symptoms quickly resolved following therapy with oral nonsteroidal antiinflammatory drugs and colchicine. Lateral cervical radiographs taken after 4 months confirmed the complete resolution of the calcification (arrows in D and E). Acute calcific tendinitis of the longus colli muscle (or retropharyngeal tendinitis) is an aseptic inflammatory process caused by calcium hydroxyapatite crystal deposition in the longus colli tendon. It is typically observed between ages 30 and 60 years (1), and presents as neck pain, limited neck movement, and dysphagia or odynophagia (2). During diagnosis, this condition should be differentiated from retropharyngeal abscess, cervical osteomyelitis, spondylodiscitis, retro-odontoid pseudotumor, crowned dens syndrome, and meningitis. CT is the most sensitive diagnostic imaging technique and enables the identification of the amorphous calcification in the proximal fibers of the longus colli-a specific characteristic of this disease (3).

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Non-rotator cuff calcific tendinopathy: ultrasonographic diagnosis and treatment

et al. 2019

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Calcific tendinopathy is a condition that is related to the deposition of calcium, mostly hydroxyapatite crystals, within the tendons. The shoulder and the hip are commonly affected joints, but calcific tendinopathy may occur in any tendon of the body. While there is an extensive literature on the ultrasound diagnosis of calcific tendinopathy of the shoulder, there are only sporadic reports on other sites. This review combines the experience of our centers and a thorough analysis of the literature from the last 45 years in order to highlight the localizations beyond the rotator cuff, their ultrasound characteristics and therapeutic possibilities.

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Calcific retropharyngeal tendinitis of the longus colli muscle. Answer to the e-quid “Acute cervical pain and dysphagia in a 43 year-old man”

Cited by 6 publications

References 5 publications

Unusual case of acute neck pain: acute calcific longus colli tendinitis

Unusual case of acute neck pain: acute calcific longus colli tendinitis

Acute Calcific Tendinitis of the Longus Colli Muscle

Non-rotator cuff calcific tendinopathy: ultrasonographic diagnosis and treatment

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