Benign Nuchal Rigidity: The Emergency Department Evaluation of Acute Prevertebral Calcific Tendonitis

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Benign Nuchal Rigidity: The Emergency Department Evaluation of Acute Prevertebral Calcific Tendonitis

Acute prevertebral calcific tendonitis (APCT) is a rare condition, the exact incidence of which is unknown. It is of particular interest to the emergency physician owing to the other potentially devastating conditions in the differential diagnosis of neck stiffness and/or odynophagia (including retropharyngeal abscess, infectious spondylitis, and meningitis.) In contrast, APCT has a benign clin...

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Acute Prevertebral Calcific Tendinitis

A 74-year-old woman was admitted to our hospital due to a high fever, severe neck pain, and odynophagia for several days. A blood test showed a high white blood cell count and high C-reactive protein levels. Enhanced magnetic resonance image (MRI) showed low-signal calcification on T2weighted imaging in the retropharyngeal space at the C1-C2 level (Picture 1, arrow) with slight prevertebral ede...

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Acute calcific retropharyngeal tendonitis.

©2015 8872147 Canada Inc. or its licensors CMAJ 1 A 40-year-old man presented to our hospital with low-grade fever and acute pain in the neck, which had both begun a day before his visit and persisted through the night. He also reported difficulty opening his mouth and pain when bending his head back or swallowing. On examination, axillary temperature was 37.5oC, but other vital signs were norm...

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Acute Prevertebral Calcific Tendinitis.

We present a case of neck pain in a middle-aged woman, initially attributed to a retropharyngeal infection and treated with urgent intubation. With the help of computed tomography, the diagnosis was later revised to acute prevertebral calcific tendinitis, a self-limiting condition caused by abnormal calcium hydroxyapatite deposition in the longus colli muscles. It is critical to differentiate b...

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A 47-year-old Japanese man had been suffering from acute posterior neck pain for the previous 2 days. He visited our outpatient department because he had limited neck mobility and was unable to sleep well due to this pain. The posterior neck pain became exacerbated when swallowing, and he also had dysphagia. Computed tomography scans showed light calcification on the anterior surface of the axi...

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ژورنال

عنوان ژورنال: Western Journal of Emergency Medicine

سال: 2012

ISSN: 1936-900X,1936-9018

DOI: 10.5811/westjem.2011.4.6766