“Pain in the Neck”: Acute-Onset Neck Pain in an Adolescent Girl

2021 ◽  
Vol 42 (12) ◽  
pp. 702-705
Author(s):  
Rebecca Greenbaum ◽  
Rebecca K. Burger ◽  
Judith A. Gadde
Keyword(s):  
Neck Pain ◽  
Adolescent Girl ◽  
Acute Onset

scholarly journals Delayed presentation of neck arteries dissection, caused by water slide activity

2018 ◽  
Vol 11 (1) ◽  
pp. e226333
Author(s):  
Ayman Mahmoud Alboudi ◽  
Pournamy Sarathchandran ◽  
Samar Sameer Geblawi
Keyword(s):  
Neck Pain ◽  
Posterior Inferior Cerebellar Artery ◽  
Acute Onset ◽  
Artery Dissection ◽  
Cervical Artery Dissection ◽  
Delayed Presentation ◽  
Intravenous Tissue Plasminogen Activator ◽  
Cervical Artery ◽  
Ct Brain ◽  
Headache And Neck Pain

A 16-year-old Korean boy presented with acute onset vertigo, dysphagia and gait ataxia of 16 hours duration. He had history of headache and neck pain along with transient vertigo during a water slide ride 12 days before presentation. CT brain showed left cerebellar and left lateral medullary infarcts. CT angiography showed left vertebral dissection with occlusion of left posterior inferior cerebellar artery. A 52-year-old Indian man, presented with acute onset global aphasia and right hemiparesis within 3 hours of onset of symptoms. He received intravenous tissue plasminogen activator (tPA) with partial improvement in his symptoms. He had headache and neck pain since 2 weeks, ever since he had a water slide ride. CT brain was normal, while the CT angiogram showed left carotid dissection. Cervical artery dissection has been reported with roller coaster rides and rarely with delayed presentations. Delayed presentation of cervical artery dissection after water rides have not been reported.

scholarly journals Crowned dens syndrome

2012 ◽  
Author(s):  
Norma Belfiore ◽  
Vito Privitera ◽  
Giampaolo Carmosino ◽  
Giulio Doveri
Keyword(s):  
Neck Pain ◽  
Odontoid Process ◽  
Unknown Origin ◽  
The Elderly ◽  
Calcium Pyrophosphate ◽  
Acute Onset ◽  
Cervical Pain ◽  
Calcium Pyrophosphate Dehydrate ◽  
Crowned Dens Syndrome ◽  
Inflammatory Drugs

Introduction Microcrystalline deposition in peri-odontoid articular structures is mainly responsible for acute or chronic cervical pain and is known as “crowned dens syndrome”.Materials and methods We described two cases of acute cervical pain associated with onset of fever and peripheral acute monoarthritis. Cervical computed tomography (CT) scan showed linear calcification of the retrodens ligament and calcium pyrophosphate dehydrate (CPPD) crystals were found in synovial fluid of inflamed joints. Both patients were treated with anti-inflammatory drugs and colchicine.Discussion Calcium depositions around the odontoid process of the axis can be occasionally detected by radiological studies. They are frequently asymptomatic but sometimes can be associated with severe neurological abnormalities, fever and acute neck pain. CPPD crystals are usually deposited in joints and bursae but occasionally can disrupt these anatomical confines and deposit in periarticular tissues, sometimes forming large masses confused with tumours.Conclusions Acute onset of cervical neck pain associated with elevation of inflammatory indicators and/or signs of cervical myelopathy should suggest CT scans searching for microcrystal depositions in the peryodonthoid tissue. Differential diagnosis of fever of unknown origin (FUO) should include crowned dens syndrome specially in the elderly after exclusion of several endocrine or metabolic disorders, infection diseases (meningitis), arthritis (psoriatic arthritis and ankylosing spondylitis) and tumours (chordoma, meningioma, osteoblastoma).

Extradural Spinal, Bone Marrow, and Renal Nephroblastoma

2003 ◽  
Vol 39 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Angela M. Gasser ◽  
William W. Bush ◽  
Sionagh Smith ◽  
Raquel Walton
Keyword(s):  
Bone Marrow ◽  
Neck Pain ◽  
Physical Examination ◽  
Neurological Examination ◽  
Hind Limb ◽  
Imaging Techniques ◽  
Abdominal Mass ◽  
Acute Onset ◽  
Neurological Signs ◽  
Multifocal Disease

A 1-year-old, female intact Shetland sheepdog presented with acute onset of neurological signs. Physical examination revealed a large abdominal mass. Neurological examination revealed multifocal disease with neck pain, short-strided forelimbs, and hind-limb paresis with loss of tail and anal tone. Blood work, imaging techniques, cytopathology, and histopathology led to a diagnosis of renal, bone-marrow, and extradural spinal nephroblastoma. This report documents potential clinical and pathological manifestations of canine nephroblastoma that have not been previously reported.

Intraaxial Spinal Cord Hemorrhage Secondary to Atlantoaxial Subluxation in a Dog

2010 ◽  
Vol 46 (2) ◽  
pp. 132-137 ◽  
Author(s):  
Marc Kent ◽  
Joseph S. Eagleson ◽  
Dharshan Neravanda ◽  
Scott J. Schatzberg ◽  
Fredrik I. Gruenenfelder ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Magnetic Resonance ◽  
Neck Pain ◽  
Vertebral Column ◽  
Acute Onset ◽  
Spinal Cord Lesion ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Cord Lesion

A 1-year-old, 3.5-kg, spayed female, toy poodle was presented for acute-onset tetraplegia and neck pain. Neuroanatomical diagnosis was consistent with a first through fifth cervical (C1 through C5) spinal cord lesion. Radiographs of the cervical vertebral column revealed atlantoaxial (AA) subluxation. Magnetic resonance imaging revealed abnormalities consistent with intraaxial spinal cord hemorrhage at the level of the AA articulation. The dog was treated with external coaptation. After 8 days, the dog regained voluntary motor function in all four limbs. Surgical stabilization was pursued. Postoperatively, the dog regained the ability to ambulate. This report details the imaging findings and management of a dog with intraaxial spinal cord hemorrhage secondary to AA subluxation.

scholarly journals Metastases to the craniovertebral junction: illustrative case report and review of literature

2018 ◽  
Vol 6 (5) ◽  
pp. 1825
Author(s):  
Chandramouleeswaran Venkatraman ◽  
Sindhuja Lakshminarasimhan ◽  
Pratheep Kumar S. ◽  
Krishnaprasad Thuvarapalayam Periasamy
Keyword(s):  
Neck Pain ◽  
Craniovertebral Junction ◽  
Metastatic Lesion ◽  
Cord Compression ◽  
Acute Onset ◽  
Cervical Cord ◽  
Illustrative Case ◽  
Lower Cranial Nerve ◽  
Metastatic Lesions ◽  
Cranial Nerve Palsies

Metastases at the craniovertebral junction represent 0.5-1% of spinal metastatic lesions. Common primary sites include breast, lung and prostate carcinoma. Initial presenting features include neck pain and occipital neuralgia. High index of suspicion is required to recognize this entity in patients presenting with neck pain. If left unrecognized, these metastatic lesions have the propensity to cause catastrophic collapse leading to significant morbidity and mortality due to fracture subluxation and spinal cord compression. Here we discuss such a patient who presented with acute onset quadriparesis and lower cranial nerve palsies due to metastatic lesion involving the C1 and C2 vertebra causing medullary and cervical cord compression. Early detection and timely intervention are key to improving outcomes in such patients.

scholarly journals A rare case of ischaemic stroke following cervical spine manipulation in an adolescent girl

2020 ◽  
Vol 7 (2) ◽  
pp. 445
Author(s):  
Ashitha Judith Paul ◽  
Radha Kumar
Keyword(s):  
Risk Factors ◽  
Lower Limb ◽  
Adolescent Girl ◽  
Early Recognition ◽  
Posterior Inferior Cerebellar Artery ◽  
Acute Onset ◽  
Cerebral Peduncle ◽  
History Of ◽  
Cervical Spine Manipulation ◽  
Neck Manipulation

Stroke in children is associated with a multitude of risk factors compared to risk factors of adult stroke such as hypertension, diabetes or atherosclerosis. A 15-year adolescent girl presented with acute onset weakness involving right upper and lower limb. She complained of neck pain and fever 2 days before the onset of hemiparesis for which her parents took her to traditional healer who performed neck manipulation after which she developed vomiting, tingling numbness and weakness of right upper and lower limb. There was no history of preceding headache, ear discharge or any other contributory history. Clinical examination revealed Glasgow Come Scale 12/15, power of grade 2/5 in right upper limb and 3/5 in right lower limb, exaggerated deep reflexes, extensor plantar reflex, right sided ptosis and right sided upper motor neuron facial palsy. CT scan brain showed right cerebellar and occipital infarct with posterior inferior cerebellar artery territory involvement. MRI Brain and MR Angiogram showed wedge shaped infarct involving right posterior inferior cerebellum, inferior vermis, ventral aspect of superior medulla, paracentral pons, right cerebral peduncle, tectum of both halves of midbrain with no internal hemorrhage and no vessel abnormality and right vertebral artery was not visualized. Her coagulation profile and cardiac work up were normal. She was treated with antiplatelet drugs, anticoagulants and physiotherapy following which the child gradually improved over a period of one month. In this case, with a positive history of neck manipulation authors can conclude that the etiology of young stroke wasinduced byneck manipulation. This case has been reported to increase awareness about the ill effects of neck manipulation and counsel parents against performing such procedures for children. Early recognition of pediatric stroke is critical for immediate diagnosis, imaging and treatment with better outcomes.

scholarly journals Parotid tumour presents as acute onset neck pain: a case report

2016 ◽  
Vol 2 (2) ◽  
pp. 82
Author(s):  
Mark D. Unger ◽  
Taras M. Gulyanich
Keyword(s):  
Salivary Gland ◽  
Case Report ◽  
Parotid Gland ◽  
Neck Pain ◽  
Acute Onset ◽  
Salivary Gland Tumors ◽  
Major Salivary Gland ◽  
Parotid Tumour ◽  
Parotid Tumors ◽  
The Face

<p class="abstract">Salivary gland tumors occur in the major and minor salivary glands. Major salivary gland tumors are frequently reported, with those arising in the parotid gland being most common. Patients with parotid tumors may be entirely asymptomatic. Some of the commonly reported symptoms directly related to parotid tumors include painless swelling of the parotid gland, ipsilateral facial palsy, and facial pain. This case report describes a clinically diagnosed parotid tumor presenting as ipsilateral, acute onset neck pain without preceding cervical trauma in the face of normal physical examination, cardiac, and laboratory workup. The common causes of neck pain are highlighted and further discussion suggests a nociceptive mechanism responsible for this report of acute neck pain.</p>

Acute onset dysphagia and neck pain after eating

BMJ ◽  
2021 ◽  
pp. n512
Author(s):  
Edward Balai ◽  
Hannah Nieto ◽  
Neil Molony
Keyword(s):  
Neck Pain ◽  
Acute Onset

Picture Quiz: A young patient with a severe headache

2011 ◽  
Vol 10 (4) ◽  
pp. 209-209
Author(s):  
Vijay Joshi ◽  
◽  
David Walters ◽  
Keyword(s):  
Neck Pain ◽  
Young Patient ◽  
Acute Onset ◽  
Severe Headache ◽  
Recent History ◽  
Loss Of Consciousness ◽  
Neck Trauma ◽  
Her Family ◽  
History Of ◽  
Systemic Symptoms

A 38 year old woman presented with one day history of acute onset frontal headache which progressively generalised over a few hours. The headache was dull in nature and did not respond to analgesics. A day prior to the onset of headache her family members and the patient had noticed a distinct change in the appearance of her eyes. The headache was not associated with symptoms of meningism, vomiting, seizures, syncope or loss of consciousness. She did not report any weakness in her extremities. There was no recent history of neck trauma or neck pain and no other systemic symptoms.

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