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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/03/23 23:52:53」(JST)

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Drawing from Gray's anatomy with blue arrow showing the bifurcation area which is painful in Carotidynia.

Carotidynia is a syndrome characterized by unilateral (one-sided) tenderness of the carotid artery, near the bifurcation. It was first described in 1927 by Temple Fay.^[1] The most common cause of carotidynia may be migraine, and then it is usually self-correcting. Common migraine treatments may help alleviate the carotidynia symptoms. Recent histological evidence has implicated an inflammatory component of carotidynia, but studies are limited.^[2] Carotid arteritis is a much less common cause of carotidynia, but has much more serious consequences. It is a form of giant cell arteritis, which is a condition that usually affects arteries in the head. Due to this serious condition possibly causing carotidynia, and the possibility that neck pain is related to some other non-carotidynia and serious condition, the case should be investigated by a medical doctor.^[3] Because carotidynia can be caused by numerous causes, Biousse and Bousser in 1994 recommended the term not be used in the medical literature.^[4] However, recent MRI and ultrasound studies have supported the existence of a differential diagnosis of carotidynia consistent with Fay's characterization.^[5]^[6]

References[edit]

^ Hill and Hastings list this reference as: Fay, Temple (1927) "Atypical neuralgia." Arch Neurol Psychiatry.
^ Upton, P.; Smith, J. G.; Charnock, D. R. (2003). "Histologic confirmation of carotidynia". Otolaryngology - Head and Neck Surgery 129 (4): 443–444. doi:10.1016/S0194-5998(03)00611-9. PMID 14574303. edit
^ Hill LM, Hastings G. (1994). "Carotidynia: a pain syndrome.". J Fam Pract 39 (1): 71–5. PMID 8027735.
^ Biousse V, Bousser MG. (1994). "The myth of carotidynia.". Neurology 44 (6): 993–5. PMID 8208434. Available here
^ Lee TC, Swartz R, McEvilly R, Aviv RI, Fox AJ, Perry J, Symons SP. CTA, MR and MRA imaging of carotidynia: case report. Canadian Journal of Neurological Sciences. 2009 May; 36(3):373-375.
^ Kuhn, J.; Harzheim, A.; Horz, R.; Bewermeyer, H. (2006). "MRI and ultrasonographic imaging of a patient with carotidynia". Cephalalgia 26 (4): 483–485. doi:10.1111/j.1468-2982.2006.01053.x. PMID 16556251. edit

External links[edit]

Family Practice notebook.com
Blog assessing whether carotidynia is a valid medical diagnosis.
Carotidynia condition page on PatientsLikeMe.

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1. 頭蓋顔面痛の概要 overview of craniofacial pain
2. 成人における顎関節症 temporomandibular disorders in adults
3. 成人における急性副鼻腔炎および鼻副鼻腔炎：臨床症状および診断 acute sinusitis and rhinosinusitis in adults clinical manifestations and diagnosis

English Journal

Carotidynia with carotid arterial thrombosis.

Matsubara H, Takeshita K, Nakamura S, Murohara T, Miyachi S.
Annals of internal medicine.Ann Intern Med.2012 Dec 18;157(12):917-9. doi: 10.7326/0003-4819-157-12-201212180-00020.
PMID 23247948

Contralateral Recurrence of Carotidynia during Steroid Therapy.

Inatomi Y, Nakajima M, Yonehara T, Hirano T.SourceDepartment of Neurology, Saiseikai Kumamoto Hospital, Kumamoto, Japan. Electronic address: y.inatomix@silk.ocn.ne.jp.
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association.J Stroke Cerebrovasc Dis.2012 Dec 14. pii: S1052-3057(12)00355-2. doi: 10.1016/j.jstrokecerebrovasdis.2012.10.011. [Epub ahead of print]
A 44-year-old woman presented with contralateral recurrence of carotidynia during steroid therapy at 1 month after onset. Carotidynia can present with a multiphasic clinical course and can affect the neck bilaterally. Therefore, patients with carotidynia should be observed even after remission.Copyr
PMID 23253536

Japanese Journal

頸部痛と発熱で発症した早期高安動脈炎の1例

丸山裕美子,北川典子,伊藤真人 [他]
日本耳鼻咽喉科学会会報 116(6), 709-714,図版1枚, 2013-06
NAID 40019747092

頸部痛と発熱で発症した早期高安動脈炎の1例

丸山裕美子,北川典子,伊藤真人,吉崎智一
Nippon Jibiinkoka Gakkai Kaiho 116(6), 709-714, 2013
症例は15歳女児. 左頸部痛と発熱を主訴に受診した. 血液学的炎症所見は高度であり頸部超音波検査および頸部～胸部のCTおよびMRI・MRAで左総頸動脈の壁肥厚を認めたが, 主要血管の狭窄や拡張病変を認めずそのほかの器質的異常は認められなかった. 20日間の発熱継続に対しポジトロン断層撮影 (18F-FDG PET) を施行したところ, 左総頸動脈, 上行大動脈から腹部大動脈の動脈壁に集積を認めた. …
NAID 130003373112

頸動脈過敏症を合併した頸動脈痛 (carotidynia) の1例

佐藤祥一郎,矢澤由加子,板橋亮 [他],突田健一,古井英介
臨床神経学 50(10), 714-717, 2010-10-01
NAID 10027870284

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