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Logo of jnnpsycJournal of Neurology, Neurosurgery and PsychiatryVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
J Neurol Neurosurg Psychiatry. 1984 April; 47(4): 407–409.
PMCID: PMC1027784

Neck tongue syndrome: operative management.


A 53-year-old woman with assimilation of the atlas to the occiput presented with paraesthesiae in the right half of her tongue and ipsilateral neck pain aggravated by head turning. After being intermittent for several years, the symptoms eventually became persistent and increasingly incapacitating. At operation, the C2 spinal nerves were found to be compressed by protuberant atlanto-axial joints, particularly on the right side. The superficial parts of the resected C2 spinal nerves showed a loss of both myelinated and unmyelinated nerve fibres. After operation, the patient experienced partial relief of her symptoms.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Lance JW, Anthony M. Neck-tongue syndrome on sudden turning of the head. J Neurol Neurosurg Psychiatry. 1980 Feb;43(2):97–101. [PMC free article] [PubMed]
  • Mackenzie RA, Burke D, Skuse NF, Lethlean AK. Fibre function and perception during cutaneous nerve block. J Neurol Neurosurg Psychiatry. 1975 Sep;38(9):865–873. [PMC free article] [PubMed]
  • Bowman JP, Combs CM. The cerebrocortical projection of hypoglossal afferents. Exp Neurol. 1969 Feb;23(2):291–301. [PubMed]

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