Carotid pain

Introduction The carotid artery originates from the common carotid artery. The pain of the carotid artery is characterized by tenderness, swelling and specific pulsation of one side of the common carotid artery. It is a periodic attack, mostly one side. Without visual impairment, no systemic symptoms, and may be associated with cranial arteritis when accompanied by systemic symptoms. 90% can heal naturally.

Cause

Clinically, the disease can be divided into primary and secondary types. The former is caused by allergies and immune dysfunction; the latter is caused by viral infection, trauma or external stimuli. According to the incidence, it can be acute (within one month), subacute (1~3 months) and chronic (more than 3 months).

an examination

Related inspection

Carotid pulsation examination neck MRI

(1) It is often unilateral onset, and the symptoms in the acute phase are relatively simple, mainly manifested as unilateral neck pain at the branch of the carotid artery. Generally, there may be pain on the ipsilateral head, face, ear, shoulder, and chest. This is a characteristic of vascular lesions. In addition to the pain in the rest of the neck, no corresponding signs or lesions can be found.

(2) Carotid tenderness is the main point of diagnosis of carotid pain.

(3) The effect of hormone therapy is remarkable.

Differential diagnosis

Differential diagnosis of carotid pain:

1. Neck pain: The problem of neck pain, whether it is in young people or middle-aged people, is a common problem. Its symptoms are local and conductive. The so-called locality refers to pain in the neck alone, which may be a ligament sprain, a muscle strain, or a joint wear degradation. The so-called conductivity refers to the situation of the hand numbness and hand soreness in addition to the neck discomfort. This is mostly because the cervical nerve root is compressed, or the fascia from the neck to the arm and even the wrist, inflammation, adhesion, The situation of austerity.

2, ischemic indexing of the neck: the pain is ischemic jumping pain, the onset can be sudden, accompanied by soreness and discomfort, starting from the neck to the hands and fingers, with numbness and tingling, pain There is no clear boundary between the parts of the cervical vertebrae. The movement of the cervical vertebra can aggravate the pain. When the neck is straightened, the interscribing muscle space becomes smaller and the pain is aggravated. The neck flexion can increase the intercostal muscle space, and the pain can be relieved. The lowering of the shoulders of the limbs can exacerbate the symptoms. Ischemic thoracic neck is a clinical manifestation of anterior scalene syndrome. The anterior scalene muscle is located in the deep part of the lateral side of the cervical vertebrae and starts from the anterior nodules of the cervical vertebrae 3-6 transversely, ending at the inner rib cage of the first rib. Anterior scalene muscle syndrome refers to anterior scalene muscle edema caused by various causes, hyperplasia, sputum and lifting of the first rib, leading to stenosis of the scalene muscle, compression of the brachial plexus and subclavian arteries and veins The corresponding clinical symptoms of the disease.

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