Document Detail


Calcification of the external carotid arteries and their branches.
MedLine Citation:
PMID:  22241884     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This patient had longstanding hypercalcaemia and hyperphosphataemia owing to chronic renal disease, then finally failure, inducing tertiary hyperparathyroidism. He also had long histories of diabetes mellitus type II, hypertension and hypercholesterolaemia. He then reported a painful expansile swelling of the anterior mandible which was diagnosed as a "brown tumour". Subsequent review of the CT data set by an oral and maxillofacial radiologist revealed two patterns of calcification of the carotid arteries. A pipestem pattern was observed bilaterally along almost the entire lengths of the external carotid artery, a muscular artery, and its branches whereas plaque-like calcification was observed in the common and internal carotid arteries (elastic arteries). The pipestem pattern, hitherto an unreported feature affecting the external carotid artery, may represent a metastatic calcified deposit owing to hypercalcaemia and hyperphosphataemia in the tunica media of muscular arteries, resulting in arteriosclerosis, which maintains a patent lumen. The plaque-like pattern is representative of lumen-occluding calcified atherosclerosis associated with the long histories of diabetes mellitus type II, hypertension and hypercholesterolaemia. As this patient did not have any symptoms and/or signs of myofacial pain, facial dysfunction or numbness, the calcification of his external carotid arteries and branches were considered as arteriosclerosis. The brown tumour responded to the parathyroidectomy and the renal transplant.
Authors:
D S Macdonald; L Zhang; Y Gu
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-01-12
Journal Detail:
Title:  Dento maxillo facial radiology     Volume:  41     ISSN:  0250-832X     ISO Abbreviation:  Dentomaxillofac Radiol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-18     Completed Date:  2012-12-04     Revised Date:  2013-10-15    
Medline Journal Info:
Nlm Unique ID:  7609576     Medline TA:  Dentomaxillofac Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  615-8     Citation Subset:  D    
Affiliation:
Division of Oral and Maxillofacial Radiology, UBC, Vancouver V6T 1Z3, BC, Canada. dmacdon@dentistry.ubc.ca
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MeSH Terms
Descriptor/Qualifier:
Arteriosclerosis / radiography*
Calcinosis / radiography*
Carotid Artery, External / radiography*
Carotid Artery, Internal / radiography
Carotid Stenosis / radiography*
Diabetes Mellitus, Type 2 / complications
Granuloma, Giant Cell / radiography
Humans
Hypercalcemia / complications
Hypercholesterolemia / complications
Hyperphosphatemia / complications
Hypertension / complications
Male
Mandibular Diseases / radiography
Middle Aged
Osteitis Fibrosa Cystica / radiography
Tomography, X-Ray Computed
Comments/Corrections

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