Carotidynia: a cause of neck and face pain.

Carotid arthritis is a type of facial pain in the form of a blood vessel neck where blood vessel changes occur in the carotid artery of the neck. This disease is not uncommon, and most patients have a history of migraine. They appear as pain in the neck and face, and are generally thought to have diseases such as chronic sinusitis and trigeminal neuralgia. Diagnosis can be based on the type and location of pain, and swelling and swelling of the carotid artery on the same side. Carotid artery pain responds to prophylactic drugs used for migraine and usually disappears within weeks or months. In some patients, this syndrome may be recurrent or chronic, and the response to the drug may fluctuate.

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The carotid artery is usually called neck pain caused by the carotid artery in the triangle in front of the neck. Pain is usually sporadic irritating cervical pain, usually accompanied by carotid tenderness and adjacent swelling. As noted above, pain is often considered a variant of migraine. However, any abnormality in the carotid artery wall can cause pain in the head, face and neck, as evidenced by similar pain reports in carotid aneurysm, carotid arteritis and carotid dissection.

Carotid arthritis is a type of facial pain in the form of a blood vessel neck where blood vessel changes occur in the carotid artery of the neck. This disease is not uncommon, and most patients have a history of migraine. They appear as pain in the neck and face, and are generally thought to have diseases such as chronic sinusitis and trigeminal neuralgia. Diagnosis can be based on the type and location of pain, and swelling and swelling of the carotid artery on the same side. Carotid artery pain responds to prophylactic drugs used for migraine and usually disappears within weeks or months. In some patients, this syndrome may be recurrent or chronic, and the response to the drug may fluctuate.

The earliest description of the fa carotid artery suggests that carotid artery hypersensitivity may be the cause of facial and neck pain. Several of his patients were improved by arterial denervation and discontinuation of cervical sympathetic nerve fibers. Electrical stimulation of the carotid artery wall near the bifurcation causes pain in the teeth, gums, eyes, nose, cheeks and jaws, depending on the exact area of ​​the stimulated artery. He pointed out that the acupressure of the carotid artery near the bifurcation causes similar pain and is a useful diagnostic function.

A clinical pain syndrome similar to the "carotid artery" is formed in patients within several years after undergoing carotid endarterectomy. The upper laryngeal nerve block reverses the pain, followed by an upper axillary lymph node dissection. Diagnosis of laryngeal neuralgia as described above has the following characteristics: (1) anterior triangular pain of the neck, dilation of the ipsilateral ears and eyes, (2) arse voice, and (3) ipsilateral side under laryngoscopy Rotator muscle paralysis. The carotid artery usually refers to pain in the neck caused by the carotid artery in the neck and is usually considered a variant of migraine. Our observation suggests that carotiditis may not be a variant of migraine and that the "carotid artery" may not be the exact term for all pain in the anterior triangle of the cervical spine . When reporting or noticing a language disorder, it is recommended to include linguistic pathology and otolaryngology examination (including laryngoscopy) in the assessment of cervical pain.