Carotidynia

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Carotidynia is a syndrome characterized by unilateral (one-sided) soreness of the carotid artery, near the bifurcation.

Historical Perspective

It was first described in 1927 by Temple Fay. The most common cause of carotidynia may be migraine, and then it is usually self-correcting.

Pathophysiology

Recent histological evidence has implicated an inflammatory component of carotidynia, but studies are limited. 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.

Diagnosis

MRI

MRI and ultrasound studies may be useful in determining the underlying cause of carotidynia.

Treatment

Common migraine treatments may help alleviate the carotidynia symptoms.