A 60 years old female patient suffering from neck stiffness with solid irregular anterior neck lump came to ultrasound clinic of Radiation and Isotope Centre of Khartoum (RICK), longitudinal and transverse ultrasound scan (U/S) was done for her both thyroid lobes; ultrasound results showed huge (Rt) thyroid lobe nodule with typical criteria's of malignant nodules (solid , solitary , irregular a...

osteoblastoma is a rare benign, but locally aggressive bone tumor with rare malignant transformation. it mostly affects the vertebral column and long bones. radiographically, it is seen as an expansile, oval, sclerotic or lytic mass-like lesion with well-defined borders, although sometimes it may mimic a malignant tumor such as osteogenic sarcoma by its irregular borders. herein, we report a ca...

A previously healthy 70-year-old woman presents to the emergency department with a 3-day history of fever, confusion, and lethargy. She is unable to cooperate with a full physical examination, but she has neck stiffness upon neck flexion. Her score on the Glasgow Coma Scale is 13 (eye, 4; verbal, 4; motor, 5). The findings from a chest radiograph and urinalysis are normal. You seek consent from...

Longus colli tendinitis (LCT) is an acute inflammatory condition with symptoms typically consisting of acute neck pain and stiffness with or without dysphagia. Once more severe etiologies for these symptoms are ruled out, this self-limiting condition usually resolves spontaneously with nonsteroidal anti-inflammatory drugs and corticosteroids. We present a case of LCT that presented as acute nec...

OBJECTIVES To compare the effects of real acupuncture to tender points for neck and shoulder pain and stiffness (Japanese: katakori) with those of sham acupuncture. DESIGN Randomized-controlled trial. METHODS Thirty-four volunteers from an acupuncture school with complaints of chronic pain and stiffness, who had no arm symptoms and gave informed consent, were randomly allocated to acupunctu...

A 41-year old previously healthy woman presented with severe headache, vomiting, low grade fever, bilateral eye pain, photophobia and deteriorating vision over one week. Examination showed neck stiffness and bilateral papilloedema [Figures 1 and 2]. She had no evidence of autoimmune disorders. Contrast CT brain and routine investigations were normal. CSF showed pleocytosis with negative microbi...

Eosinophilic meningitis, caused by the nematode Angiostrongylus cantonensis, is prevalent in northeastern Thailand, most commonly in adults. Data regarding clinical manifestations of this condition in children is limited and may be different those in adults. A chart review was done on 19 eosinophilic meningitis patients aged less than 15 years in Srinagarind Hospital, Faculty of Medicine, Khon ...