Neck-Tongue Syndrome
Autor: | Carrie Dougherty, Nancy N. Hu |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Headache Disorders Movement 03 medical and health sciences 0302 clinical medicine Tongue Pathognomonic Cervicogenic headache medicine Humans 030222 orthopedics Neck pain Atlanto-axial joint business.industry General Medicine medicine.disease Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Atlanto-Axial Joint Cervical Vertebrae Post-Traumatic Headache Cervical collar Neurology (clinical) medicine.symptom business Neck 030217 neurology & neurosurgery Cervical vertebrae |
Zdroj: | Current Pain and Headache Reports. 20 |
ISSN: | 1534-3081 1531-3433 |
DOI: | 10.1007/s11916-016-0555-y |
Popis: | Neck-tongue syndrome (NTS) is a headache disorder often initiated by rapid axial rotation of the neck resulting in unilateral neck and/or occipital pain and transient ipsilateral tongue sensory disturbance. In this review, we examine reported cases of NTS since its initial description in 1980 to highlight the significance of this condition in the differential diagnosis of headache in patients presenting with neck pain and altered tongue sensation. The anatomical basis of NTS centers on the C1-C2 facet joint, C2 ventral ramus, and inferior oblique muscle in the atlanto-axial space. NTS may be categorized as complicated (secondary to another disease process) or uncomplicated (hereditary, related to trauma, or idiopathic). Diagnosis is based on clinical suspicion after a thorough history and physical without a pathognomonic radiologic finding. It is typically treated conservatively with medications, local injections, immobilization with cervical collars, or physical therapy; rarely is surgical intervention pursued. |
Databáze: | OpenAIRE |
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