Longus colli tendinitis: Differential diagnosis of prevertebral abscess
DOI:
https://doi.org/10.34631/sporl.106Keywords:
Tendinite, longo do pescoço, abcesso prévertebralAbstract
Introduction: Acute prevertebral tendinitis, also known as calcific retropharyngeal ten-dinitis or longus colli tendinitis, is an infrequent cause of acute cervical pain produced by an inflammation of the longus colli muscle. Typically there are calcifications in the upper insertion of the longus colli at C1-C2 and a fluid collection in the retropharyngeal space. The differential diagnosis includes pre-vertebral abscess, spondylitis and trau-matic injury.
Material and Methods: The authors present the diagnostic approach of a patient referred to the emergency department in the context of acute cervical pain.
Conclusion: The knowledge of the clinical and imaging features allows an immediate diagnosis and treatment, thus avoiding possible surgical management.
References
Southwell K, Hornibrook J, O’Neill-Kerr D. Acute longus colli calcific tendonitis caus-ing neck pain and dysphagia. Otolaryngol head neck
surg. 2008; 138: 405-406.
Ring D, Vaccaro AR, Scuderi G, Pathria MN et al. Acute calcific retropharyngeal tendonitis. J Bone Joint Surg. 1994; 76A (11): 1636-
Fauge G, Daculsi G. Calcified tendonitis: a review. Ann Rheum Dis. 1983; 42 (suppl): 49-53.
Offiah CE, Hall E. Acute calcific tendinitis of the longus colli muscle: spectrum of CT appearances and anatomical correlation. Br J Radiol.
; 82: e117-e121.
Vollman R. Hammer G, Simbrunner J. Pathways in the diagnosis of prevertebral ten-dinitis. Eur J Radiol. 2012; 81, 114-117.
Khurana B. Calcific tendinitis mimicking acute prevertebral abscess. J Emerg Med. 2009; 42 (1): e15-16.
Shin D, Ahn CS, Choi JP. The acute calcific prevertebral tendinitis: report of two cas-es. Asian Spine J. 2010; 4 (2): 123-127.
Harnier S, Kuhn J, Harzheim A, Bewermeyer H et al. Retropharyngeal tendinitis: a rare differential diagnosis of severe headaches and neck
pain. Headache. 2008; 48(1): 158-61
