Imagiology of the Acute Calcific Tendinitis of the Longus Colli

Abstract

The acute calcific tentinitis of the longus colli, it´s a rare nosologic condition, that generally presents with intense and sudden neck pain, associated with dysphagia, little time after an effort or local trauma, with rapidly symptomatic progression, that in just a few days tend to totally limit the normal function. The disease is caused by the inflammatory response to the deposition of calcic hidroxiapatite generally at the superior insertion of the superior oblique fibbers. We describe the case of a female, 48 years old, that suddenly after a physical effort, develops a clinical picture characterized by limitation of the cervical and cranial movements, rapidly progressive dysphagia, and increasingly intense pain, with inflammatory characteristics. Ten years before the patient had presented a pulmonary tuberculosis infection that was treated and debelated, this event had contributed to bias the approach to the disease, but the CT and MRI has showed some classical findings in this pathology, bringing light to the real nature of the disease.