Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2023; 11(18): 4419-4424
Published online Jun 26, 2023. doi: 10.12998/wjcc.v11.i18.4419
Acute neck tendonitis with dyspnea: A case report
Hao Wu, Wen Liu, Lei Mi, Qi Liu
Hao Wu, Department of Neurosurgery, Graduate School of Dalian Medical University, Dalian 116044, Liaoning Province, China
Wen Liu, Lei Mi, Department of Imaging, The First Hospital of Yu Lin, Yulin 718000, Shaanxi Province, China
Qi Liu, Department of Neurosurgery, The First Hospital of Yu Lin, Yulin 718000, Shaanxi Province, China
Author contributions: Wu H contributed to manuscript writing and editing, and data collection; Liu W and Mi L contributed to data analysis; Liu Q contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qi Liu, MD, Deputy Director, Doctor, Department of Neurosurgery, The First Hospital of Yu Lin, No. 59 Wenhua Road, Yulin 718000, Shaanxi Province, China. xbmdlq@126.com
Received: March 25, 2023
Peer-review started: March 25, 2023
First decision: May 8, 2023
Revised: May 11, 2023
Accepted: May 23, 2023
Article in press: May 23, 2023
Published online: June 26, 2023
Abstract
BACKGROUND

Longus colli tendinitis (LCT) with dyspnea is a relatively less-reported condition in the literature, and physicians should be aware of its existence. Misdiagnosis of this condition may cause unnecessary treatment for dyspnea.

CASE SUMMARY

Herein, we report the case of a 40-year-old man with acute neck tendonitis. The patient presented to the pneumology department clinic with a complaint of acute neck tendonitis with dyspnea. An emergency cervical magnetic resonance examination was performed, and the preliminary diagnosis was “acute longus cervicalis tendinitis.” After aggressive medical treatment, the symptoms obviously improved.

CONCLUSION

LCT is a self-limiting disease that usually improves after three to seven days of conservative treatment following a definite diagnosis. However, owing to its insidious onset and complex clinical manifestations, most relevant personnel are not fully understood. The definite diagnosis of LCT is based on a comprehensive understanding of the triad, rare symptoms, and the clear identification of cervical 1 and 2 levels calcification and prevertebral edema by medical imaging examination, especially magnetic resonance imaging and computed tomography.

Keywords: Longus colli tendonitis, Dyspnea, Nimesulide dispersible tablets, Prednisolone acetate tablets, Treatment, Case report

Core Tip: The diagnosis of longus colli tendinitis was established using computed tomography, magnetic resonance imaging, and clinical features. The purpose of this study is to describe my experience with this case, broaden our understanding, and avoid a misdiagnosis of this disease in the future.