J Korean Neurol Assoc.  1999 Nov;17(6):928-930.

A Case of Carotidynia Mimicking Trigeminal Neuralgia

• Ko JS
• Kim SH
• Kim JH

Abstract

Carotidynia is defined as an atypical craniofacial pain syndrome caused by the dilatation or distension of the extracranial arteries. We report an unusual case of carotidynia mimicking trigeminal neuralgia caused by an arterioscle-rotic tortous carotid artery. A 68-year-old woman suffered from frequent episodes of severe electrical shock-like radiating pain around her left ophthalmic and maxillary division of the trigeminal nerve for 5 years. Initially, under the impression of trigeminal neuralgia, carbamazepine was tried. She was reevaluated due to an unsatisfactory pharmacological response. On examination, no abnormalities were found on the craniofacial region except for a tortous pulsating tender mass on the region of the left carotid artery. Routine laboratory findings and a connective tissue study were normal. Neck sonography and a 4-vessel angiography showed a tortous left internal carotid artery with stenosis extending near to the skin. The patient was treated for 2 weeks with a nonsteroidal anti-inflammatory agent, steroids, a prophylctic beta blocker, and a TCA antidepressant. The pain gradually subsided.

Keyword

Carotidynia; Atherosclerotic; Trigeminal neuralgia

MeSH Terms

Aged
Angiography
Arteries
Carbamazepine
Carotid Arteries
Carotid Artery, Internal
Connective Tissue
Constriction, Pathologic
Dilatation
Facial Neuralgia
Female
Humans
Neck
Skin
Steroids
Trigeminal Nerve
Trigeminal Neuralgia*
Carbamazepine
Steroids