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Table of Contents    
NEUROIMAGES
Year : 2016  |  Volume : 64  |  Issue : 5  |  Page : 1085-1086

Calcific tendinitis of the longus colli muscle: A rare cause of neck pain


1 Department of Radiology, Istanbul Florence Nightingale Hospital, Istanbul, Turkey
2 Department of Radiology, GATA Haydarpasa Teaching Hospital, Istanbul, Turkey

Date of Web Publication12-Sep-2016

Correspondence Address:
Suleyman Tutar
Department of Radiology, GATA Haydarpasa Teaching Hospital, Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.190267

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How to cite this article:
Ulusoy OL, Tutar S, Ozturk E, Mutlu A, Saglam M. Calcific tendinitis of the longus colli muscle: A rare cause of neck pain. Neurol India 2016;64:1085-6

How to cite this URL:
Ulusoy OL, Tutar S, Ozturk E, Mutlu A, Saglam M. Calcific tendinitis of the longus colli muscle: A rare cause of neck pain. Neurol India [serial online] 2016 [cited 2019 Sep 22];64:1085-6. Available from: http://www.neurologyindia.com/text.asp?2016/64/5/1085/190267




A 35-year-old woman was admitted to our hospital with cervical pain for 2 months. She had no history of trauma. The physcial examination and lateral cervical spine radiographs were normal. Magnetic resonance imaging (MRI) showed a fluid collection within the prevertebral soft tissues with calcification in the proximal fibers of the longus colli muscle [Figure 1]. Computed tomography (CT) confirmed calcifications within the longus colli muscle and tendon [Figure 2]. The imaging findings were consistent with calcific tendintis of the longus colli muscle. Nonsteroidal anti-inflammatory drug treatment was initiated. The patient reported resolution of the symptoms within 3 weeks. Calcific tendinitis of the longus colli is an acute inflammation condition of the longus colli tendon, which is related to calcium hydroxyapatite deposition in the superior oblique fibers of the longus colli muscles.[1],[2] The differential diagnosis includes spinal tuberculosis, retropharyngeal abscess, cervical osteomyelitis, spondylodiscitis, meningitis, and tumors. Treatment with nonsteroidal anti-inflammatory medication and avoidance of aggravating neck movements help to reduce the symptoms.
Figure 1: Sagittal T2-weighted magnetic resonance image showing fluid collection extending within the prevertebral soft tissues (arrow), with calcification in the proximal fibers of the longus colli muscle

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Figure 2: Sagittal computed tomography image showing calcifications (arrow) within the longus colli muscle and tendon and fluid collection within the prevertebral soft tissues

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Conflicts of interest

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  References Top

1.
Ring D, Vaccaro AR, Scuderi G, Pathria MN, Garfin SR. Acute calcific retropharyngeal tendonitis: Clinical presentation and pathological characterization. J Bone Joint Surg Am 1994;76:1636-42.  Back to cited text no. 1
[PUBMED]    
2.
Eastwood JD, Hudgins PA, Malone D. Retropharyngeal effusion in acute calcific prevertebral tendonitis: Diagnosis with CT and MR imaging. AJNR Am J Neuroradiol 1998;19:1789-92.  Back to cited text no. 2
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