PMID- 7639473 OWN - NLM STAT- MEDLINE DCOM- 19950913 LR - 20170214 IS - 0003-4894 (Print) IS - 0003-4894 (Linking) VI - 104 IP - 8 DP - 1995 Aug TI - Differential diagnosis of pulsatile neck masses by Doppler color flow imaging. PG - 633-8 AB - A pulsatile neck mass (PNM) requires careful judgment in its evaluation, and it is difficult and inaccurate to diagnose a PNM only by physical examination, even though a thrill or bruit is present. Doppler colorflow imaging (DCI) was performed as an initial evaluation in nine patients with PNMs. Intravenous digital subtraction angiography, intra-arterial angiography, X-ray computed tomography, and magnetic resonance imaging were performed in selected cases. The DCI revealed seven vascular masses (three tortuosities of the common carotid artery, two tortuosities of the brachiocephalic artery, one pseudoaneurysm, and one traumatic arteriovenous fistula) and two nonvascular masses (one neurofibroma and one metastatic lymph node). The clinical diagnoses of all the vascular masses were defined by DCI. In nonvascular masses, fine-needle aspiration biopsy could be performed relatively safely and accurately by monitoring the feeding artery or the common carotid artery by DCI. This method was quite useful for the initial evaluation in the differential diagnosis of PNMs. FAU - Takeuchi, Y AU - Takeuchi Y AD - Department of Otorhinolaryngology, Chiba University School of Medicine, Japan. FAU - Numata, T AU - Numata T FAU - Suzuki, H AU - Suzuki H FAU - Konno, A AU - Konno A FAU - Kaneko, T AU - Kaneko T LA - eng PT - Journal Article PL - United States TA - Ann Otol Rhinol Laryngol JT - The Annals of otology, rhinology, and laryngology JID - 0407300 SB - IM MH - Adult MH - Aged MH - Angiography, Digital Subtraction MH - Diagnosis, Differential MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neck/*blood supply/diagnostic imaging MH - Physical Examination MH - *Pulsatile Flow MH - Tomography, X-Ray Computed MH - *Ultrasonography, Doppler, Color MH - Vascular Diseases/*diagnostic imaging/physiopathology EDAT- 1995/08/01 00:00 MHDA- 1995/08/01 00:01 CRDT- 1995/08/01 00:00 PHST- 1995/08/01 00:00 [pubmed] PHST- 1995/08/01 00:01 [medline] PHST- 1995/08/01 00:00 [entrez] AID - 10.1177/000348949510400808 [doi] PST - ppublish SO - Ann Otol Rhinol Laryngol. 1995 Aug;104(8):633-8. doi: 10.1177/000348949510400808.