Asian Spine J.  2014 Oct;8(5):675-679. 10.4184/asj.2014.8.5.675.

Complete Resolution of a Case of Calcific Tendinitis of the Longus Colli with Conservative Treatment

• Tezuka F
• Sakai T
• Miyagi R
• Takata Y
• Higashino
• Katoh S
• Sairyo K
• Yasui N

• KMID: 2270251
• DOI: http://doi.org/10.4184/asj.2014.8.5.675

Abstract

Acute calcific tendinitis of the longuscolli is a self-limiting inflammatory condition caused by calcium hydroxyapatite deposition in the longuscolli tendon. Although several case reports have described its radiological presentation, few reports provide detailed chronological accounts through symptomatic and radiologic resolution. A 59-year-old woman presented with severe neck pain and stiffness of a few days duration as well as moderate discomfort when swallowing. Lateral radiographs revealed a large calcium deposit anterior to the C1.C2 joint and swelling of the prevertebral soft tissue from C1 to C5. CT and magnetic resonance imaging showed fluid in the retropharyngeal gap.A soft collar and non-steroidal anti-inflammatory drug were prescribed, without antibiotics. At 4 months after presentation, the calcium deposit and all symptoms had resolved completely. Although this disease is comparatively rare, physicians should keep it in mind when a patient presents with acute severe neck pain.

Keyword

Calcific tendinitis of the longuscolli; Conservative treatment

MeSH Terms

Anti-Bacterial Agents
Calcium
Deglutition
Durapatite
Female
Humans
Joints
Magnetic Resonance Imaging
Middle Aged
Neck Pain
Tendinopathy*
Tendons
Anti-Bacterial Agents
Calcium
Durapatite