Complete Resolution of a Case of Calcific Tendinitis of the Longus Colli with Conservative Treatment

Autor: Fumitake Tezuka, Toshinori Sakai, Ryo Miyagi, Yoichiro Takata, Kosaku Higashino, Shinsuke Katoh, Koichi Sairyo, Natsuo Yasui
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Asian Spine Journal, Vol 8, Iss 5, Pp 675-679 (2014)
Druh dokumentu: article
ISSN: 1976-1902
1976-7846
DOI: 10.4184/asj.2014.8.5.675
Popis: Acute calcific tendinitis of the longuscolli is a self-limiting inflammatory condition caused by calcium hydroxyapatite deposition in the longuscolli tendon. Although several case reports have described its radiological presentation, few reports provide detailed chronological accounts through symptomatic and radiologic resolution. A 59-year-old woman presented with severe neck pain and stiffness of a few days duration as well as moderate discomfort when swallowing. Lateral radiographs revealed a large calcium deposit anterior to the C1.C2 joint and swelling of the prevertebral soft tissue from C1 to C5. CT and magnetic resonance imaging showed fluid in the retropharyngeal gap.A soft collar and non-steroidal anti-inflammatory drug were prescribed, without antibiotics. At 4 months after presentation, the calcium deposit and all symptoms had resolved completely. Although this disease is comparatively rare, physicians should keep it in mind when a patient presents with acute severe neck pain.
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