Neck-tongue syndrome

Neck-Tongue Syndrome is a rare disorder characterized by sudden onset of neck pain and hemilingual spasm following certain neck movements. The syndrome is typically unilateral, affecting one side of the neck and the same side of the tongue.

Symptoms

The primary symptoms of Neck-Tongue Syndrome include:

• Sudden onset of severe neck pain
• Hemilingual spasm or paresthesia (abnormal sensation) on the same side as the neck pain
• Symptoms are typically triggered by sudden neck movements, particularly rotation or flexion
• The tongue symptoms resolve almost immediately once the neck is returned to a neutral position, while the neck pain may persist

Causes

The exact cause of Neck-Tongue Syndrome is unknown. It is thought to be due to a neurological issue, possibly involving the cervical spinal nerves or the hypoglossal nerve, which controls tongue movement. Some researchers suggest it may be due to a form of vertebral artery dissection.

Diagnosis

Diagnosis of Neck-Tongue Syndrome is primarily based on the patient's symptoms and medical history. There are no specific tests for the syndrome, but imaging studies such as MRI or CT scan may be used to rule out other conditions.

Treatment

Treatment for Neck-Tongue Syndrome is primarily focused on managing symptoms. This may include physical therapy for the neck, pain management techniques, and avoiding triggering movements. In some cases, medication may be used to help control symptoms.

Prognosis

The prognosis for Neck-Tongue Syndrome is generally good, with many patients experiencing a decrease in symptoms over time. However, the syndrome can be chronic and recurrent in some cases.

See also

• Cervical spine
• Hypoglossal nerve
• Vertebral artery dissection

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Neck-tongue syndrome

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  Animation showing the cervical vertebrae