Neck-tongue syndrome

Diagnosis:

Clinical:

  • Neck pain after sudden turning of the head in distribution of C2 & lateral aspect of tongue +/-dysesthesia/numbness

Investigations to consider:

  • MRI C-spine: cervical spondylosis or lesions involving C2
  • Flexion-extension X-rays of the neck: atlantoaxial instability
  • CT flexion-extension views of the neck or right-left rotational views: atlantoaxial instability