A Case of Carotidynia Mimicking Trigeminal Neuralgia.
- Author:
Jin Seok KO
1
;
Seung Hyun KIM
;
Ju Han KIM
Author Information
1. Department of Neurology, College of Medicine, Hanyang University.
- Publication Type:Case Report
- Keywords:
Carotidynia;
Atherosclerotic;
Trigeminal neuralgia
- MeSH:
Aged;
Angiography;
Arteries;
Carbamazepine;
Carotid Arteries;
Carotid Artery, Internal;
Connective Tissue;
Constriction, Pathologic;
Dilatation;
Facial Neuralgia;
Female;
Humans;
Neck;
Skin;
Steroids;
Trigeminal Nerve;
Trigeminal Neuralgia*
- From:Journal of the Korean Neurological Association
1999;17(6):928-930
- CountryRepublic of Korea
- Language:Korean
-
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.
