Comparative evolution of carotidynia on ultrasound and magnetic resonance imaging

Role of Ultrasound in the Diagnosis and Follow-Up of Transient Perivascular Inflammation of the Carotid Artery (TIPIC) Syndrome: a Case Report

“…A good correlation was also demonstrated between the evolution as well as recurrence of our patient's clinical symptoms and his follow-up Duplex US imaging findings [7,14,21].…”

“…In cases of IC, a characteristic abnormal soft tissue surrounding the symptomatic carotid bifurcation has been previously reported on various imaging techniques like ultrasound (US), magnetic resonance imaging (MRI), CT imaging, CT angiography, and [18F] fluoro-deoxy-glucose positron-emission tomography-CT [5,7,8,13,[15][16][17][18][19][20][21]. Several studies have documented the role of ultrasound in the preliminary diagnosis of IC [14,16,17,19].…”

Recurrent TransIent Perivascular Inflammation of the Carotid artery syndrome with temporary carotid plaque on ultrasonography: a case report

“…However, our case and the past studies reported cases have demonstrated one or more of the following abnormal imaging findings: involvement of a contiguous segment of the distal common carotid artery, bulb, or proximal internal carotid artery, mild luminal narrowing, concentric thickening or outward extension of the wall, or fat stranding in the adjacent carotid space. As we did not try other images such as MRI in this time, we cannot discuss the findings of other images [4,[9][10][11][12][13]. Our patient also had abnormal findings on ultrasonography, including a hypoechoic change of the outside wall of the carotid artery and moderate thickening of endothelium with subsequent slight narrowing of the vessel lumen.…”

TIPIC Syndrome: Beyond the Myth of Carotidynia, a New Distinct Unclassified Entity

“…Nonsteroidal anti-inflammatory agents and high doses of aspirin were the most frequent treatment in our population and in the literature, with a complete median delay of pain relief in 13 days. [5][6][7] Some authors reported full recovery with clopidogrel 8 or without any treatment at all. 7 All patients had complete clinical resolution during follow-up.…”

“…However, since 2000, a few case reports have described imaging abnormalities in patients presenting with tenderness and pain at the level of the carotid bifurcation. Imaging techniques like ultrasonography (US), 5,6 MR imaging, 7 CT angiography, [ 18 F] fluorodeoxyglucose positron-emission tomography, 8,9 or associated modalities 10 showed abnormal soft tissue surrounding the carotid artery and a thickened carotid wall, especially near its bifurcation. Differential diagnoses of carotid pain such as carotid dissection, thyroiditis, vasculitis, head and neck inflammation or mass, sialadenitis, or cervical arthrosis were excluded.…”