Diagnosis and treatment of neck pain caused by transient perivascular inflammation of the carotid artery

doi:10.3877/cma.j.issn.1674-1366.2024.05.009

Abstract

Abstract:

Objective

This study aimed to investigate the clinical manifestation, diagnosis and treatment of transient perivascular inflammation of the carotid artery (TIPIC) and to improve the knowledge of dentists about TIPIC.

Methods

The patients with sudden pain of unknown cause in unilateral neck were recorded from March 2017 to December 2022 in our department. The ultrasound and imaging examinations were used for the diagnosis of TIPIC. The related literature of TIPIC was studied systematically.

Results

A total of six patients presented with acute pain of unknown cause in the middle of neck and ultrasonography showed diffuse thickening of the carotid bifurcation in all patients. All patients were treated with non-steroidal drugs and the pain was completely relieved within 2 weeks. After 1 month follow-up, ultrasound showed a good recovery of previous abnormal vascular conditions.

Conclusion

Ultrasonography and imaging examinations played a positive role in the diagnosis of TIPIC and non-steroidal anti-inflammatory drugs were usually effective in the treatment of this disease.

Key words: Carotid arteritis, Neck pain, Ultrasound, Anti-inflammatory agents, non-steroidal

Yue Zhang. Diagnosis and treatment of neck pain caused by transient perivascular inflammation of the carotid artery[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2024, 18(05): 336-339.

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References 16

[1]	Micieli E，Voci D，Mumoli N，et al. Transient perivascular inflammation of the carotid artery（TIPIC）syndrome[J]. Vasa，2022，51（2）：71-77. DOI：10.1024/0301-1526/a000989.
[2]	Lecler A，Obadia M，Sadik JC. Introduction of the TIPIC syndrome in the next ICHD classification[J]. Cephalalgia，2019，39（1）：164-165. DOI：10.1177/0333102418780485.
[3]	Fay T. Atypical neuralgia[J]. Arch Neurol Psychiatry，1927，18：309-315.
[4]	Lecler A，Obadia M，Savatovsky J，et al. TIPIC syndrome：Beyond the myth of carotidynia，a new distinct unclassified entity[J]. AJNR Am J Neuroradiol，2017，38（7）：1391-1398. DOI：10.3174/ajnr.A5214.
[5]	Abreu JA，Rocha CA，Cruz SG，et al. Transient perivascular inflammation of the carotid artery（TIPIC）Syndrome：An atypical cause of neck pain[J]. Cureus，2023，15（7）：e41275. DOI：10.7759/cureus.41275.
[6]	Jud P，Struger J，Gattringer T，et al. Retrospective analysis of long-term clinical，diagnostic and outcome parameters in patients with TIPIC syndrome[J]. Vasc Med，2023，28（4）：345-347. DOI：10.1177/1358863X231155303.
[7]	Obadia M，Nasr N，Volle G，et al. Long-term clinical and ultrasound follow-up after transient perivascular inflammation of the carotid artery（TIPIC）syndrome：A multicenter study[J]. Cephalalgia，2024，44（2）：3331024241230247. DOI：10.1177/03331024241230247.
[8]	Maggialetti N，de Marco I，Sasso S，et al. Transient perivascular inflammation of the carotid artery（TIPIC）syndrome as a rare case of laterocervical pain：Multimodal diagnosis[J]. Radiol Case Rep，2022，17（7）：2378-2382. DOI：10.1016/j.radcr.2022.04.021.
[9]	Ulus S，Aksoy Ozcan U，Arslan A，et al. Imaging spectrum of TIPIC syndrome：Validation of a new entity with vessel wall imaging[J]. Clin Neuroradiol，2020，30（1）：145-157. DOI：10.1007/s00062-018-0746-5.
[10]	Sjaastad O，Bakketeig LS. The rare，unilateral headaches. Vågå study of headache epidemiology[J]. J Headache Pain，2007，8（1）：19-27. DOI：10.1007/s10194-006-0292-4.
[11]	As C，Danda D. Current diagnosis and management of takayasu arteritis[J]. Int Heart J，2023，64（4）：519-534. DOI：10.1536/ihj.23-195.
[12]	Serra R，Butrico L，Fugetto F，et al. Updates in pathophysiology，diagnosis and management of takayasu arteritis[J]. Ann Vasc Surg，2016，35：210-225. DOI：10.1016/j.avsg.2016.02.011.
[13]	Bhandari S，Butt SRR，Ishfaq A，et al. Pathophysiology，diagnosis，and management of takayasu arteritis：A review of current advances[J]. Cureus，2023，15（7）：e42667. DOI：10.7759/cureus.42667.
[14]	Somashekar A，Leung YT. Updates in the diagnosis and management of Takayasu′s arteritis[J]. Postgrad Med，2023，135（sup1）：14-21. DOI：10.1080/00325481.2022.2159723.
[15]	Maz M，Chung SA，Abril A，et al. 2021 American college of rheumatology/vasculitis foundation guideline for the management of giant cell arteritis and takayasu arteritis[J]. Arthritis Rheumatol，2021，73（8）：1349-1365. DOI：10.1002/art.41774.
[16]	Peycheva M，Zdravkova T，Zlatareva D，et al. Transient perivascular inflammation of the carotid artery：A transient but potentially recurrent disease[J]. Clin Case Rep，2024，12（1）：e8322. DOI：10.1002/ccr3.8322.

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