Lyre Sign

  • The Lyre sign refers to the splaying of the internal carotid and external carotid that can be seen with a carotid body tumour (also known as a carotid body paraganglioma).1
    • It was initially described in angiography but can also be seen on a CT angiogram.
  • It is called a “Lyre sign” because the splaying of the internal and external carotid results in a shape like a lyre (the stringed instrument).
  • Another commonly described sign with carotid body tumours is Fontaine’s sign, where a palpable carotid body tumour is mobile in a horizontal plane but tethered in a vertical plane.

Lyre Sign in carotid body tumours

  1. Patlola, Raghotham, et al. “Carotid body tumor.” International journal of cardiology 143.1 (2010): e7-e10. 

Last updated October 15, 2022