A Case of Carotidynia Mimicking Trigeminal Neuralgia

J Korean Neurol Assoc > Volume 17(6); 1999 > Article

Journal of the Korean Neurological Association 1999;17(6): 928-930.

삼차신경통과 유사한 증상을 보인 경동맥압통 1예

고진석, 김승현 ·김주한

한양대학교 의과대학 신경과학교실

A Case of Carotidynia Mimicking Trigeminal Neuralgia

Jin-Seok Ko, M.D., Seung-Hyun Kim, M.D.*, Juhan Kim, M.D.

Department of Neurology, College of Medicine, Hanyang University

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. J Korean Neurol Assoc 17(6):928~930, 1999 Key Words : Carotidynia, Atherosclerotic, Trigeminal neuralgia