TITLE

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

AUTHOR(S)
Fumitake Tezuka; Toshinori Sakai; Ryo Miyagi; Yoichiro Takata; Kosaku Higashino; Shinsuke Katoh; Koichi Sairyo; Natsuo Yasui
PUB. DATE
October 2014
SOURCE
Asian Spine Journal;2014, Vol. 8 Issue 5, p675
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
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.
ACCESSION #
99102050

 

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