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Multimodality imaging of transient perivascular inflammation of carotid artery syndrome: a case report

Background Transient Perivascular Inflammation of Carotid artery syndrome is a rare clinicoradiological entity characterized by inflammation of the carotid artery wall with surrounding perivascular inflammatory changes. This is a self-limiting condition and necessitates awareness and high degree of...

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Bibliographic Details
Published in:Egyptian journal of radiology and nuclear medicine 2023-12, Vol.54 (1), p.162-4
Main Authors: Ganesan, Prakash, Durai, Indira
Format: Article
Language:English
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Summary:Background Transient Perivascular Inflammation of Carotid artery syndrome is a rare clinicoradiological entity characterized by inflammation of the carotid artery wall with surrounding perivascular inflammatory changes. This is a self-limiting condition and necessitates awareness and high degree of suspicion to differentiate from other serious pathologies involving the carotid artery. Case presentation A middle aged asian male patient presented with acute onset of intense pain in the right lateral aspect of neck. Ultrasonography and Magnetic Resonance Imaging showed wall thickening of the common carotid artery and carotid bulb with surrounding inflammation in the perivascular soft tissues. He was treated with brief course of oral anti-inflammatory medications. The patient's symptoms improved and imaging findings resolved in 2 weeks. Conclusions Being infrequently encountered in clinical practice, recognition of transient perivascular inflammation of carotid artery syndrome by the physician is of prime importance. Prompt radiological investigation and follow-up imaging are crucial for accurate diagnosis, thereby leading to appropriate treatment.
ISSN:0378-603X
2090-4762
DOI:10.1186/s43055-023-01113-x