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Ann D. King - One of the best experts on this subject based on the ideXlab platform.
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Non-Hodgkin Lymphoma of the Larynx: CT and MR Imaging Findings
2014Co-Authors: Ann D. King, Anil T. Ahuja, Edmund H. Y. Yuen, Kenny I. K. Lei, Andrew Van HasseltAbstract:BACKGROUND AND PURPOSE: Non-Hodgkin lymphoma (NHL) of the larynx is a rare tumor. The aim of this study was to report the CT and MR features of laryngeal NHL in four patients to determine if there are any features that might be helpful to distinguish NHL from other laryngeal tumors. METHODS: The CT and MR images of four patients with laryngeal NHL were retrospectively reviewed for tumor volume and distribution, appearance, local invasion, and lymphadenopathy. RESULTS: Tumor volume ranged from 4 to 45 mL3. Tumor was based in the submucosal (2/4 [50%]), mucosal (1/4 [25%]), or both regions (1/4 [25%]) and was centered in the supraglottis (4/4 [100%]) but also involved the glottis (4/4 [100%]) and subglottis (2/4 [50%]). Laryngeal tumor involved the aryepiglottic folds (4/4 [100%)]), ventricles and false cords (4/4 [100%]), epiglottis (3/4 [75%]), paraglottis (3/4 [75%]), true cords (4/4 [100%]), anterior commissure (4/4 [100%]), and laryngeal cartilage (1/4 [25%]). The tumor extended into the hypopharynx (4/4 [100%]), strap Muscles (1/4 [25%]), Prevertebral Muscles (1/4 [25%]), tongue base (1/4 [25%]), and walls of the oropharynx (1/4 [25%]) and nasopharynx (1/4 [25%]). Bilateral cervical lymphadenopathy with extracapsular tumor spread was present in one patient
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MR Imaging Features of Nasopharyngeal Tuberculosis: Report of Three Cases and Literature Review
2014Co-Authors: Ann D. King, Anil T. Ahuja, Gary M.k. Tse, Andrew Van Hasselt, Amy B.w. ChanAbstract:Summary: The MR imaging appearances in three cases of nasopharyngeal tuberculosis are reported, and the findings are combined with three additional cases from a review of the literature. Two patterns of nasopharyngeal tuberculosis were identified. The first pattern is a discrete polypoid mass in the adenoids, and the second pattern is a more diffuse soft-tissue thickening of one or two of the walls of the nasopharynx. Extension outside the confines of the nasopharynx was not a feature, except in one case with early involvement of the Prevertebral Muscles. Nasopharyngeal tuberculosis is uncommon. It usu-ally occurs in the presence of active pulmonary or systemic infection; the route of infection is via hema-togenous or lymphatic spread. Primary nasopharyn-geal tuberculosis is even rarer and is thought to resul
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Non-Hodgkin lymphoma of the larynx: CT and MR imaging findings.
AJNR. American journal of neuroradiology, 2004Co-Authors: Ann D. King, Anil T. Ahuja, Edmund H. Y. Yuen, Kenny I. K. Lei, Andrew Van HasseltAbstract:BACKGROUND AND PURPOSE: Non-Hodgkin lymphoma (NHL) of the larynx is a rare tumor. The aim of this study was to report the CT and MR features of laryngeal NHL in four patients to determine if there are any features that might be helpful to distinguish NHL from other laryngeal tumors. METHODS: The CT and MR images of four patients with laryngeal NHL were retrospectively reviewed for tumor volume and distribution, appearance, local invasion, and lymphadenopathy. RESULTS: Tumor volume ranged from 4 to 45 mL 3 . Tumor was based in the submucosal (2/4 [50%]), mucosal (1/4 [25%]), or both regions (1/4 [25%]) and was centered in the supraglottis (4/4 [100%]) but also involved the glottis (4/4 [100%]) and subglottis (2/4 [50%]). Laryngeal tumor involved the aryepiglottic folds (4/4 [100%)]), ventricles and false cords (4/4 [100%]), epiglottis (3/4 [75%]), paraglottis (3/4 [75%]), true cords (4/4 [100%]), anterior commissure (4/4 [100%]), and laryngeal cartilage (1/4 [25%]). The tumor extended into the hypopharynx (4/4 [100%]), strap Muscles (1/4 [25%]), Prevertebral Muscles (1/4 [25%]), tongue base (1/4 [25%]), and walls of the oropharynx (1/4 [25%]) and nasopharynx (1/4 [25%]). Bilateral cervical lymphadenopathy with extracapsular tumor spread was present in one patient. CONCLUSION: Laryngeal NHL is a tumor that usually has a large submucosal component centered in the surpaglottis. The tumor extends into the glottis, with less frequent spread to the subglottis, laryngeal cartilage, and strap Muscles. Laryngeal NHL also involves the hypopharynx, with large tumors extending superiorly into the tongue base, oropharynx, and nasopharynx. A laryngeal tumor with a large supraglottic submucosal component should alert the ragiologist to the possibility of NHL.
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non hodgkin s lymphoma of the nasopharynx ct and mr imaging
Clinical Radiology, 2003Co-Authors: Ann D. King, P S Richards, Anil T. AhujaAbstract:Abstract OBJECTIVE: Nasopharyngeal (NP) non-Hodgkin's lymphoma (NHL) is an uncommon tumour. The aim of the study was to describe the appearances on CT and MR imaging, and identify the features which help to distinguish NPNHL from other NP tumours. MATERIALS AND METHODS: The CT ( n =8) and MR ( n =10) images of 14 patients with NPNHL were reviewed retrospectively. Patients with NPNHL were divided into primary NPNHL, where the primary tumour was in the NP ( n =7) and secondary NPNHL where the primary tumour was at another extranodal site in the head and neck ( n =7). All NPNHL were assessed for tumour size and distribution, appearance and local tumour invasion, in addition lymphadenopathy was assessed in primary NPNHL. RESULTS: The NPNHL ranged in size from 20–75 mm (mean of 55 mm for primary and 30 mm for secondary NHL) and were homogeneous on CT in eight (100%) and MR in seven (70%) and mildly heterogeneous on MR in three (30%) patients. NPNHL involved all walls of the NP in 10 (71%) and extended in an exophytic fashion to fill the NP cavity in six (43%). Deep tumour invasion was present in two (14%) both patients with primary NHL, the extent and volume of this tumour invasion was small and involved the Prevertebral Muscles ( n =2), parapharyngeal fat space ( n =1) and skull base ( n =1). Primary NPNHL extended superficially in five (71%) to involve the nasal cavity ( n =3) and oropharynx ( n =2) and lymphadenopathy was present in five (71%) being bilateral and involving multiple nodal sites ( n =4) with necrosis ( n =2) and matting ( n =3). CONCLUSION: NPNHL is a homogeneous tumour that tends to diffusely involve all walls of the nasopharynx and spread in an exophytic fashion to fill the airway, rather than infiltrating into the deep tissues. Deep tumour infiltration, when it occurs, is found in those patients with primary NHL and is usually limited in extent and of small volume. Primary NHL more commonly spreads superficially to involve the nasal cavity or oropharynx, lymphadenopathy is frequent and extensive. A large tumour that fills the nasopharynx, with no or minimal invasion into deep structures, and a propensity to extend down into the tonsil, rather than up into the skull base, may suggest the diagnosis of NHL over nasopharyngeal carcinoma.
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MR imaging features of nasopharyngeal tuberculosis: report of three cases and literature review.
AJNR. American journal of neuroradiology, 2003Co-Authors: Ann D. King, Anil T. Ahuja, Gary M.k. Tse, Andrew Van Hasselt, Amy B.w. ChanAbstract:The MR imaging appearances in three cases of nasopharyngeal tuberculosis are reported, and the findings are combined with three additional cases from a review of the literature. Two patterns of nasopharyngeal tuberculosis were identified. The first pattern is a discrete polypoid mass in the adenoids, and the second pattern is a more diffuse soft-tissue thickening of one or two of the walls of the nasopharynx. Extension outside the confines of the nasopharynx was not a feature, except in one case with early involvement of the Prevertebral Muscles.
Anil T. Ahuja - One of the best experts on this subject based on the ideXlab platform.
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Non-Hodgkin Lymphoma of the Larynx: CT and MR Imaging Findings
2014Co-Authors: Ann D. King, Anil T. Ahuja, Edmund H. Y. Yuen, Kenny I. K. Lei, Andrew Van HasseltAbstract:BACKGROUND AND PURPOSE: Non-Hodgkin lymphoma (NHL) of the larynx is a rare tumor. The aim of this study was to report the CT and MR features of laryngeal NHL in four patients to determine if there are any features that might be helpful to distinguish NHL from other laryngeal tumors. METHODS: The CT and MR images of four patients with laryngeal NHL were retrospectively reviewed for tumor volume and distribution, appearance, local invasion, and lymphadenopathy. RESULTS: Tumor volume ranged from 4 to 45 mL3. Tumor was based in the submucosal (2/4 [50%]), mucosal (1/4 [25%]), or both regions (1/4 [25%]) and was centered in the supraglottis (4/4 [100%]) but also involved the glottis (4/4 [100%]) and subglottis (2/4 [50%]). Laryngeal tumor involved the aryepiglottic folds (4/4 [100%)]), ventricles and false cords (4/4 [100%]), epiglottis (3/4 [75%]), paraglottis (3/4 [75%]), true cords (4/4 [100%]), anterior commissure (4/4 [100%]), and laryngeal cartilage (1/4 [25%]). The tumor extended into the hypopharynx (4/4 [100%]), strap Muscles (1/4 [25%]), Prevertebral Muscles (1/4 [25%]), tongue base (1/4 [25%]), and walls of the oropharynx (1/4 [25%]) and nasopharynx (1/4 [25%]). Bilateral cervical lymphadenopathy with extracapsular tumor spread was present in one patient
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MR Imaging Features of Nasopharyngeal Tuberculosis: Report of Three Cases and Literature Review
2014Co-Authors: Ann D. King, Anil T. Ahuja, Gary M.k. Tse, Andrew Van Hasselt, Amy B.w. ChanAbstract:Summary: The MR imaging appearances in three cases of nasopharyngeal tuberculosis are reported, and the findings are combined with three additional cases from a review of the literature. Two patterns of nasopharyngeal tuberculosis were identified. The first pattern is a discrete polypoid mass in the adenoids, and the second pattern is a more diffuse soft-tissue thickening of one or two of the walls of the nasopharynx. Extension outside the confines of the nasopharynx was not a feature, except in one case with early involvement of the Prevertebral Muscles. Nasopharyngeal tuberculosis is uncommon. It usu-ally occurs in the presence of active pulmonary or systemic infection; the route of infection is via hema-togenous or lymphatic spread. Primary nasopharyn-geal tuberculosis is even rarer and is thought to resul
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Non-Hodgkin lymphoma of the larynx: CT and MR imaging findings.
AJNR. American journal of neuroradiology, 2004Co-Authors: Ann D. King, Anil T. Ahuja, Edmund H. Y. Yuen, Kenny I. K. Lei, Andrew Van HasseltAbstract:BACKGROUND AND PURPOSE: Non-Hodgkin lymphoma (NHL) of the larynx is a rare tumor. The aim of this study was to report the CT and MR features of laryngeal NHL in four patients to determine if there are any features that might be helpful to distinguish NHL from other laryngeal tumors. METHODS: The CT and MR images of four patients with laryngeal NHL were retrospectively reviewed for tumor volume and distribution, appearance, local invasion, and lymphadenopathy. RESULTS: Tumor volume ranged from 4 to 45 mL 3 . Tumor was based in the submucosal (2/4 [50%]), mucosal (1/4 [25%]), or both regions (1/4 [25%]) and was centered in the supraglottis (4/4 [100%]) but also involved the glottis (4/4 [100%]) and subglottis (2/4 [50%]). Laryngeal tumor involved the aryepiglottic folds (4/4 [100%)]), ventricles and false cords (4/4 [100%]), epiglottis (3/4 [75%]), paraglottis (3/4 [75%]), true cords (4/4 [100%]), anterior commissure (4/4 [100%]), and laryngeal cartilage (1/4 [25%]). The tumor extended into the hypopharynx (4/4 [100%]), strap Muscles (1/4 [25%]), Prevertebral Muscles (1/4 [25%]), tongue base (1/4 [25%]), and walls of the oropharynx (1/4 [25%]) and nasopharynx (1/4 [25%]). Bilateral cervical lymphadenopathy with extracapsular tumor spread was present in one patient. CONCLUSION: Laryngeal NHL is a tumor that usually has a large submucosal component centered in the surpaglottis. The tumor extends into the glottis, with less frequent spread to the subglottis, laryngeal cartilage, and strap Muscles. Laryngeal NHL also involves the hypopharynx, with large tumors extending superiorly into the tongue base, oropharynx, and nasopharynx. A laryngeal tumor with a large supraglottic submucosal component should alert the ragiologist to the possibility of NHL.
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non hodgkin s lymphoma of the nasopharynx ct and mr imaging
Clinical Radiology, 2003Co-Authors: Ann D. King, P S Richards, Anil T. AhujaAbstract:Abstract OBJECTIVE: Nasopharyngeal (NP) non-Hodgkin's lymphoma (NHL) is an uncommon tumour. The aim of the study was to describe the appearances on CT and MR imaging, and identify the features which help to distinguish NPNHL from other NP tumours. MATERIALS AND METHODS: The CT ( n =8) and MR ( n =10) images of 14 patients with NPNHL were reviewed retrospectively. Patients with NPNHL were divided into primary NPNHL, where the primary tumour was in the NP ( n =7) and secondary NPNHL where the primary tumour was at another extranodal site in the head and neck ( n =7). All NPNHL were assessed for tumour size and distribution, appearance and local tumour invasion, in addition lymphadenopathy was assessed in primary NPNHL. RESULTS: The NPNHL ranged in size from 20–75 mm (mean of 55 mm for primary and 30 mm for secondary NHL) and were homogeneous on CT in eight (100%) and MR in seven (70%) and mildly heterogeneous on MR in three (30%) patients. NPNHL involved all walls of the NP in 10 (71%) and extended in an exophytic fashion to fill the NP cavity in six (43%). Deep tumour invasion was present in two (14%) both patients with primary NHL, the extent and volume of this tumour invasion was small and involved the Prevertebral Muscles ( n =2), parapharyngeal fat space ( n =1) and skull base ( n =1). Primary NPNHL extended superficially in five (71%) to involve the nasal cavity ( n =3) and oropharynx ( n =2) and lymphadenopathy was present in five (71%) being bilateral and involving multiple nodal sites ( n =4) with necrosis ( n =2) and matting ( n =3). CONCLUSION: NPNHL is a homogeneous tumour that tends to diffusely involve all walls of the nasopharynx and spread in an exophytic fashion to fill the airway, rather than infiltrating into the deep tissues. Deep tumour infiltration, when it occurs, is found in those patients with primary NHL and is usually limited in extent and of small volume. Primary NHL more commonly spreads superficially to involve the nasal cavity or oropharynx, lymphadenopathy is frequent and extensive. A large tumour that fills the nasopharynx, with no or minimal invasion into deep structures, and a propensity to extend down into the tonsil, rather than up into the skull base, may suggest the diagnosis of NHL over nasopharyngeal carcinoma.
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MR imaging features of nasopharyngeal tuberculosis: report of three cases and literature review.
AJNR. American journal of neuroradiology, 2003Co-Authors: Ann D. King, Anil T. Ahuja, Gary M.k. Tse, Andrew Van Hasselt, Amy B.w. ChanAbstract:The MR imaging appearances in three cases of nasopharyngeal tuberculosis are reported, and the findings are combined with three additional cases from a review of the literature. Two patterns of nasopharyngeal tuberculosis were identified. The first pattern is a discrete polypoid mass in the adenoids, and the second pattern is a more diffuse soft-tissue thickening of one or two of the walls of the nasopharynx. Extension outside the confines of the nasopharynx was not a feature, except in one case with early involvement of the Prevertebral Muscles.
Amy B.w. Chan - One of the best experts on this subject based on the ideXlab platform.
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MR Imaging Features of Nasopharyngeal Tuberculosis: Report of Three Cases and Literature Review
2014Co-Authors: Ann D. King, Anil T. Ahuja, Gary M.k. Tse, Andrew Van Hasselt, Amy B.w. ChanAbstract:Summary: The MR imaging appearances in three cases of nasopharyngeal tuberculosis are reported, and the findings are combined with three additional cases from a review of the literature. Two patterns of nasopharyngeal tuberculosis were identified. The first pattern is a discrete polypoid mass in the adenoids, and the second pattern is a more diffuse soft-tissue thickening of one or two of the walls of the nasopharynx. Extension outside the confines of the nasopharynx was not a feature, except in one case with early involvement of the Prevertebral Muscles. Nasopharyngeal tuberculosis is uncommon. It usu-ally occurs in the presence of active pulmonary or systemic infection; the route of infection is via hema-togenous or lymphatic spread. Primary nasopharyn-geal tuberculosis is even rarer and is thought to resul
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MR imaging features of nasopharyngeal tuberculosis: report of three cases and literature review.
AJNR. American journal of neuroradiology, 2003Co-Authors: Ann D. King, Anil T. Ahuja, Gary M.k. Tse, Andrew Van Hasselt, Amy B.w. ChanAbstract:The MR imaging appearances in three cases of nasopharyngeal tuberculosis are reported, and the findings are combined with three additional cases from a review of the literature. Two patterns of nasopharyngeal tuberculosis were identified. The first pattern is a discrete polypoid mass in the adenoids, and the second pattern is a more diffuse soft-tissue thickening of one or two of the walls of the nasopharynx. Extension outside the confines of the nasopharynx was not a feature, except in one case with early involvement of the Prevertebral Muscles.
Josef Simbrunner - One of the best experts on this subject based on the ideXlab platform.
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Prevertebral tendinitis: How to avoid unnecessary surgical interventions†
The Laryngoscope, 2012Co-Authors: Georg Philipp Hammer, Robert Vollmann, Josef Simbrunner, Peter Valentin Tomazic, Gerhard FriedrichAbstract:Objectives/Hypothesis: Prevertebral tendinitis is an inflammatory process that affects the cervicothoracic Prevertebral Muscles. Because of its clinical presentation and imaging features in computed tomography scans, Prevertebral tendinitis can easily be mistaken for deep cervical abscess formation. Totally different therapy regimens require clinical and diagnostic pathways for sufficient differentiation between those two pathologic entities. Study Design: Case series with comparison. Methods: In 10 patients with Prevertebral tendinitis, we evaluated the symptoms, laboratory reports, and radiological imaging findings. We compared these data to 65 patients with a deep cervical abscess formation. The basic radiologic imaging procedure was contrast-enhanced computed tomography. For detection of Prevertebral tendinitis, we performed magnetic resonance imaging with diffusion-weighted images and calculated the apparent diffusion coefficient map. Results: Patients with Prevertebral tendinitis complained of severe neck pain, globus sensation, and neck stiffness. Diffusion-weighted images showed a typical benign Prevertebral effusion. Computed tomography scans showed amorphous calcifications in the tendon of the Prevertebral Muscles. The C-reactive protein values were slightly increased in patients with Prevertebral tendinitis, and white blood cell count remained normal. In comparison to patients with deep cervical abscess formation, the C-reactive protein and white blood cell count was significantly lower (P < .05) in the Prevertebral tendinitis cases. Conclusions: Prevertebral tendinitis should be considered when patients suffer from neck pain, neck stiffness, and globus sensations despite low signs of inflammation in the laboratory report. To confirm the diagnosis, the best imaging feature is magnetic resonance imaging with diffusion-weighted images and apparent diffusion coefficient map. Laryngoscope, 2012
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pathways in the diagnosis of Prevertebral tendinitis
European Journal of Radiology, 2012Co-Authors: Robert Vollmann, Georg Philipp Hammer, Josef SimbrunnerAbstract:INTRODUCTION: The Prevertebral tendinitis is an inflammatory process, which affects the cervicothoracic Prevertebral Muscles. This extremely rare entity was first described by Hartley and Fahlgren in 1964 and until now there are just some case reports dealing with this process. Unfortunately it is quite easy to misdiagnose or mistake the Prevertebral tendinitis as an abscess, because of the imaging features. The aim of this case series is to offer guidelines in the diagnosis of this rare disease to prevent unnecessary surgery. MATERIAL AND METHODS: Six patients with already by imaging or retrospectively after surgery by pathologic report diagnosed Prevertebral tendinitis were included in this study. None of these patients suffered from a chronically inflammatory disease. Three patients just received contrast enhanced computed tomography (CT) and another group of three patients received magnetic resonance imaging (MRI). In two out of three MRI examinations, we additionally performed diffusion weighted images and calculated the apparent diffusion coefficient (ADC) map. The laboratory reports obtained on the day of the computed tomography (CT) or magnetic resonance imaging (MRI) examinations were reviewed for C-reactive protein (CRP) and white blood cell count (WBCC). RESULTS: All patients revealed a Prevertebral cervical effusion. Five out of six patients showed amorphous calcifications in the tendon of the Prevertebral Muscles. In one case calcifications could not be identified at all because of very strong beam hardening artefacts caused by dental prothesis. The CRP values were increased in all patients (mean value 44.9 mg/l; SD ± 28.3). However, WBCC remained normal (mean value 8.4G/l; SD ± 2.7). Only for the two patients who received DWI it was possible to assess the quality of the Prevertebral fluid accumulation and to detect the benign Prevertebral effusion, which is typical for the retropharyngeal tendinitis. CONCLUSION: According to the experience with our patients the best imaging feature is MRI with DWI and ADC map to reveal the benign Prevertebral effusion and confirm the diagnosis of Prevertebral tendinitis. In some cases MRI might not be available. Here we recommend CT scans to detect typical Prevertebral calcifications. Especially a slight elevation of CRP and normal WBCC make the Prevertebral tendinitis more likely.
W. Michael Hooten - One of the best experts on this subject based on the ideXlab platform.
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Severe neck pain and odynophagia secondary to acute calcific longus colli tendinitis: a case report.
Journal of Medical Case Reports, 2020Co-Authors: Brendan Langford, Jennifer Kleinman Sween, David M. Penn, W. Michael HootenAbstract:Background Acute calcific longus colli tendinitis is a rare, noninfectious inflammatory condition caused by the deposition of calcium crystals. The condition is self-limiting, yet commonly misdiagnosed. Here we report a case of a patient with severe neck pain and odynophagia initially misdiagnosed as a retropharyngeal abscess before establishing the correct diagnosis of acute calcific longus colli tendinitis. Case presentation A 60-year-old Caucasian man presented to an outside emergency department with a 5-day history of neck pain and odynophagia. The neck pain was severe and aggravated by movement. Laboratory evaluation revealed leukocytosis and elevated C-reactive protein. Computed tomography of his neck soft tissues was initially interpreted as a retropharyngeal abscess. Antibiotic therapy with piperacillin/tazobactam was initiated, and the patient was transferred to our tertiary care center for further evaluation and treatment. On physical examination, the patient's neck range of motion was significantly diminished, and bilateral neck tenderness was present. An otolaryngologist performed an examination with laryngoscopy, the result of which was unremarkable. A radiologist at our facility interpreted his outside magnetic resonance imaging as showing "calcification in the Prevertebral Muscles at C1-C2, inflammation with edema of the Prevertebral Muscles, and retropharyngeal space edema/effusion," consistent with acute calcific longus colli tendinitis. His antibiotics were discontinued, and he was started on intravenous ketorolac. He had significant improvement in his neck range of motion, and his pain diminished greatly. He was discharged on a 10-day course of diclofenac (50 mg three times daily). At 1-week follow-up, the patient was doing well; he had returned to work, and his pain was well controlled. Conclusions This case report details the presentation, characteristic radiographic findings, and management of a patient with an extremely rare condition of neck pain and odynophagia that could be treated with nonsteroidal anti-inflammatory drugs.
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Severe neck pain and odynophagia secondary to acute calcific longus colli tendinitis: a case report
Journal of Medical Case Reports, 2020Co-Authors: Brendan Langford, David M. Penn, Jennifer Kleinman Sween, W. Michael HootenAbstract:Background Acute calcific longus colli tendinitis is a rare, noninfectious inflammatory condition caused by the deposition of calcium crystals. The condition is self-limiting, yet commonly misdiagnosed. Here we report a case of a patient with severe neck pain and odynophagia initially misdiagnosed as a retropharyngeal abscess before establishing the correct diagnosis of acute calcific longus colli tendinitis. Case presentation A 60-year-old Caucasian man presented to an outside emergency department with a 5-day history of neck pain and odynophagia. The neck pain was severe and aggravated by movement. Laboratory evaluation revealed leukocytosis and elevated C-reactive protein. Computed tomography of his neck soft tissues was initially interpreted as a retropharyngeal abscess. Antibiotic therapy with piperacillin/tazobactam was initiated, and the patient was transferred to our tertiary care center for further evaluation and treatment. On physical examination, the patient’s neck range of motion was significantly diminished, and bilateral neck tenderness was present. An otolaryngologist performed an examination with laryngoscopy, the result of which was unremarkable. A radiologist at our facility interpreted his outside magnetic resonance imaging as showing “calcification in the Prevertebral Muscles at C1-C2, inflammation with edema of the Prevertebral Muscles, and retropharyngeal space edema/effusion,” consistent with acute calcific longus colli tendinitis. His antibiotics were discontinued, and he was started on intravenous ketorolac. He had significant improvement in his neck range of motion, and his pain diminished greatly. He was discharged on a 10-day course of diclofenac (50 mg three times daily). At 1-week follow-up, the patient was doing well; he had returned to work, and his pain was well controlled. Conclusions This case report details the presentation, characteristic radiographic findings, and management of a patient with an extremely rare condition of neck pain and odynophagia that could be treated with nonsteroidal anti-inflammatory drugs.