Headaches secondary to atlanto-occipital and atlanto-axial joints are often associated with suboccipital pain and aggravated by lateral rotation of the cervical spine and/or flexion or extension of the cervical spine. They are frequently under-diagnosed using traditional radiological evaluation including plain X-rays, computerized tomographic scan, and magnetic resonance imaging. While the natu...

In acute whiplash injuries, early physiotherapy has been shown to reduce pain and increase cervical movement, but the cost-effectiveness of this treatment has been questioned. It is unclear whether the benefits result from manipulative physiotherapy or from the patient's ability to perform the accompanying home exercise programme when instructed about its importance. In a single blind prospecti...

INTRODUCTION Study aim is to report the Magnetic Resonance Imaging (MRI) features of acute and chronic spontaneous spondylodiscitis. CASE REPORT 57 year old female, complaining of a fever and longstanding cervical pain worsened during physical therapy. METHODS MR images were acquired using superconductive magnet 1.5 T, with the following sequences: sagittal PD and T2 TSE, sagittal T1 SE, ax...

Study Design Case report. Objective Myeloid sarcoma (also known as chloroma) is a rare, extramedullary tumor composed of immature granulocytic cells. It may occur early in the course of acute or chronic leukemia or myeloproliferative disorders. Spinal cord invasion by myeloid sarcoma is rare. The authors report a rare case of spinal myeloid sarcoma presenting as cervical radiculopathy. Methods ...

OBJECTIVE To investigate the association between articular chondrocalcinosis and calcification of the atlantoaxial region on a cervical computed tomography (CT) scan and to explore the relation between such calcifications and neck pain. MATERIALS AND METHODS CT slices of the cervico-occipital junction were performed routinely in 49 consecutive patients (male/female ratio 28/21; mean age 70.4 ...

British Journal of General Practice, November 2014 e742 BaCkground Oropharyngeal carcinoma (OPC) is an uncommon cancer of the head and neck region but with a growing incidence. Patients usually present after the fourth decade of life with chronic, persistent symptoms including non-tender cervical lymphadenopathy, chronic sore throat, ear pain, difficulty swallowing, pain on swallowing, and a ch...

Many patients arrive in the emergency department with acute lumbar and cervical muscle spasm (focal dystonia) that occurs either spontaneously or secondary to nonimpact axial injuries (i.e., lifting and twisting). Current treatment options, such as opioids, NSAIDs and anxiolytics, provide either minimal or no relief or precipitate undesirable side effects. My hypothesis was that benztropine, an...

Cervical spondylotic radiculopathy (CSR) is a relatively common problem after middle age,'-3 and is characterised by pain, segmental sensory disturbance, and motor deficits in the upper limbs. In acute cases, neck pain and stiffness are often present, and exertion or neck injury is the usual preceding event. We report a case ofCSR precipitated by decompression sickness (DCS), which we believe h...

Thalamic pain is a primary cause of central post-stroke pain (CPSP). Clinical symptoms vary depending on the location of the infarction and frequently accompany several pain symptoms. Therefore, correct diagnosis and proper examination are not easy. We report a case of CPSP due to a left acute thalamic infarction with central disc protrusion at C5-6. A 45-year-old-male patient experiencing a ti...

normal 0 false false false en-us x-none ar-sa background: this study was aimed at assessing the accuracy of provocative tests in diagnosis of acute or chronic cervical radiculopathy (cr) based on an electrodiagnostic reference criterion. materials and methods: shoulder abduction test (sat), spurling test (st), upper limb tension test (ultt), and electromyography were done on 97 patients who ref...