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Neck-tongue syndrome.

A K Chedrawi1, M A Fishman, G Miller

  • 1Department of Pediatrics, Baylor College of Medicine and Neurology Service, Texas Children's Hospital, Houston, Texas, USA.

Pediatric Neurology
|July 29, 2000
PubMed
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Neck-tongue syndrome, a rare disorder affecting upper cervical nerves, causes neck pain and tongue paresthesia. This condition, often treatable with conservative management, was observed in two pediatric patients.

Area of Science:

  • Neurology
  • Otolaryngology
  • Pediatric Neurology

Background:

  • Neck-tongue syndrome is a rare neurological disorder characterized by paroxysmal neck pain and tongue paresthesia.
  • It arises from compression of the C2 nerve root, typically due to conditions affecting the upper cervical vertebrae.

Observation:

  • This report details two pediatric cases of neck-tongue syndrome.
  • The patients presented with clinical onset at 6 and 11 years of age, respectively.
  • This highlights the rare occurrence of this disorder in children.

Findings:

  • The signs and symptoms observed were consistent with C2 nerve root compression.
  • Conservative management approaches were considered effective in these cases, assuming no underlying masses were present.

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Implications:

  • These cases underscore the importance of considering neck-tongue syndrome in the differential diagnosis of pediatric neck pain and neurological symptoms.
  • Early diagnosis and appropriate management, even in young patients, can lead to favorable outcomes.
  • Further research into the pediatric presentation and long-term management of this rare condition is warranted.