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Arthritis and Rheumatism

Carotidynia

10/06/1998

Question:

I would like to find information on Carotidynia? Have not been able to find anything on WEB search.

Answer:

The following abstract of a review by LM Hill may be helpful. It is taken from the Journal of Family Practice, Volume 39, page 71-5, and was published in July, 1994. The complete article would be available at any Medical School library or can be ordered through PubMed, which is a service of the National Library of Medicine that is available, without charge, on the Web (see MEDLINE link on this site). Other recent articles about carotidynia were published in Otolaryngology and Head and Neck Surgery, 1994, vol. 110, p. 387; Ear Nose and Throat Journal, 1998, vol. 77, p. 462; American Family Physician, 1994, vol. 50, p. 987; and Seminars in Neurology, 1996, vol. 16, p. 63. I also found 7 sites on the WEB that discussed carotidynia, so you may want to try again with a different search engine. In general, neurologists and otolaryngologists are more familiar than rheumatologists with this problem; you might want to make an appointment with a neurologist or otolaryngologist if you require further help.

Carotidynia: a pain syndrome.

Hill LM, Hastings G

Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita.

Carotidynia is a common neck pain syndrome first described by Temple Fay in 1927. The pain is typically dull, throbbing, continuous, and localized over the carotid bifurcation, but may radiate to the ipsilateral mandible, cheek, eye, or ear. Symptoms are frequently aggravated by swallowing, chewing, and contralateral head movements. The cardinal physical finding is tenderness on palpation of the carotid bulb, sometimes accompanied by prominence or throbbing of the carotid pulse. Although several serious conditions should be excluded, most cases follow a benign course.

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Response by:

Larry   Houk, MD Larry Houk, MD
Professor of Clinical Medicine and Rheumatology
College of Medicine
University of Cincinnati