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Updated: Feb 26, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Ultrasound for the Diagnosis of Carotidynia
Michael Abrahamy1, Myriam Werner2, Paul Gottlieb1
1Department of Diagnostic Imaging, Assaf Harofeh Medical Center, affiliated with the Sackler School of Medicine, Tel-Aviv University, Zerifin, Israel.
Abstract:
The purpose of this work is to draw attention to the characteristic sonographic features of carotidynia, which, in the context of a typical clinical picture support its diagnosis. Six patients presented with primary symptoms of neck pain and focal tenderness. In all patients, focal wall thickening of the distal end of the common carotid artery was found exactly in the region of tenderness, leading to mild lumen narrowing. Treatment with nonsteroidal anti-inflammatory drugs or glucocorticoids led to full symptom resolution. Carotidynia will often be encountered first on sonography performed for evaluation of neck pain and has a characteristic sonographic appearance.
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