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The neck-tongue syndrome

R W Orrell¹, C D Marsden

¹University Department of Clinical Neurology, National Hospital, London, UK.

Journal of Neurology, Neurosurgery, and Psychiatry

|March 1, 1994

Summary

Neck-tongue syndrome involves neck pain and tongue sensory changes, linked to lingual nerve damage affecting the hypoglossal nerve and C2 spinal roots. This study explores its varied symptoms and lingual pseudoathetosis.

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Area of Science:

Neurology
Neuroscience
Clinical Medicine

Background:

The neck-tongue syndrome is characterized by neck pain and ipsilateral tongue sensory disturbances.
It is hypothesized to result from damage to lingual afferent fibers within the hypoglossal nerve pathway to C2 spinal roots.
These lingual afferents are believed to serve a proprioceptive function.

Observation:

Two additional cases of neck-tongue syndrome are presented.
The clinical spectrum of this syndrome is investigated.
The phenomenon of lingual pseudoathetosis is observed and illustrated.

Findings:

The study details the clinical presentations of neck-tongue syndrome.
It explores the range of symptoms associated with this condition.
Lingual pseudoathetosis is identified as a consequence of lingual deafferentation.

Implications:

Understanding the pathophysiology of neck-tongue syndrome is crucial for accurate diagnosis.
The findings contribute to the knowledge of sensory pathways and their disruption.
Further research into lingual deafferentation may reveal new therapeutic targets.

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