Neck–tongue syndrome

Chu, Eric Chun-Pu; Lin, Andy Fu Chieh

doi:10.1136/bcr-2018-227483

Cited by 9 publications

(7 citation statements)

References 20 publications

(38 reference statements)

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“…Table 2 summarizes the characteristic symptoms of the neck and tongue for NTS and the results of the interventions and treatments. In the six case reports [ 4 , 13 , 15 , 16 , 17 , 18 ], symptoms and treatments were relatively similar. Although patients’ ages were similar, most patients were in their 20s or younger, and the number of women was relatively high.…”

Section: Resultsmentioning

confidence: 98%

A Systematic Review of Case Reports on the Neck-Tongue Syndrome

Kim¹,

Lee

Cho

et al. 2021

Medicina

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Background and Objectives: Neck-tongue syndrome (NTS) is rare, and characterized by unilateral upper neck or occipital pain and paresthesia in the ipsilateral hemisphere of the tongue due to neck movement. Treatment for NTS is mainly conservative, but the symptoms, causes, and rationale for treatment remain controversial. This study aimed to provide a framework for NTS treatment in clinical practice based on recent treatment directions. Materials and Methods: Case reports published from the past 20 years to August 2021 were searched through MEDLINE, EMBASE, and PEDro databases. Since there is no established management for NTS, the search terms were neck-tongue syndrome and case reports. The Critical Appraisal Checklist for Case Reports was used for the quality assessment of case reports. Through descriptive analysis, NTS symptoms, interventions, and results were reviewed. Results: Among the 16 studies searched, six case reports were selected and analyzed based on eight criteria. Symptoms included neck pain and ipsilateral tongue paralysis when the head was turned. As an intervention, six and four studies showed immediate symptom relief through manual therapy and exercise, respectively. Conclusions: Based on the reviewed evidence, management through physical therapy and chiropractic therapy with conservative methods such as manual therapy and exercise for patients with neck-tongue syndrome is recommended.

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Section: Resultsmentioning

confidence: 98%

A Systematic Review of Case Reports on the Neck-Tongue Syndrome

Kim¹,

Lee

Cho

et al. 2021

Medicina

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“…This was suggested by the patient’s self-reported history of cold sores, and consistent with previous research regarding dental manipulation as an etiology of viral Bell’s palsy with trigeminal features [ 7 , 8 ]. We also suspect that the cervical spine played a role in the patient’s symptoms, given previous research showing an association between upper-cervical spine and trigeminal neve symptoms [ 21 , 22 ]. The low-lying cerebellar tonsils in this case were likely an asymptomatic, incidental finding, as this did not meet the threshold for grade 1 Arnold Chiari Syndrome (5 mm below the foramen magnum), and there was no syringomyelia present and no cerebellar signs on examination [ 23 ].…”

Section: Discussionmentioning

confidence: 97%

Concurrent Bell’s Palsy and Facial Pain Improving with Multimodal Chiropractic Therapy: A Case Report and Literature Review

Chu¹,

Trager

Chen³

2022

Am J Case Rep

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Patient: Female, 52-year-old Final Diagnosis: Bell’s palsy • trigeminal neuropathy Symptoms: Facial pain • facial paresis • neck pain Medication: — Clinical Procedure: Cervical traction • exercises • soft tissue manipulation • spinal manipulation Specialty: Neurology • Rehabilitation • Traditional Medicine Objective: Rare coexistence of disease or pathology Background: Bell’s palsy, also called facial nerve palsy, occasionally co-occurs with trigeminal neuropathy, which presents as additional facial sensory symptoms and/or neck pain. Bell’s palsy has a proposed viral etiology, in particular when occurring after dental manipulation. Case Report: A 52-year-old Asian woman presented to a chiropractor with a 3-year history of constant neck pain and left-sided maxillary, eyebrow, and temporomandibular facial pain, paresis, and paresthesia, which began after using a toothpick, causing possible gum trauma. She had previously been treated with antiviral medication and prednisone, Chinese herbal medicine, and acupuncture, but her recovery plateaued at 60% after 1 year. The chiropractor ordered cervical spine magnetic resonance imaging, which demonstrated cervical spondylosis, with no evidence of myelopathy or major pathology. Treatment involved cervical and thoracic spinal manipulation, cervical traction, soft-tissue therapy, and neck exercises. The patient responded positively. At 1-month follow-up, face and neck pain and facial paresis were resolved aside from residual eyelid synkinesis. A literature review identified 12 additional cases in which chiropractic spinal manipulation with multimodal therapies was reported to improve Bell’s palsy. Including the current case, 85% of these patients also had pain in the face or neck. Conclusions: This case illustrates improvement of Bell’s palsy and concurrent trigeminal neuropathy with multimodal chiropractic care including spinal manipulation. Limited evidence from other similar cases suggests a role of the trigeminal pathway in these positive treatment responses of Bell’s palsy with concurrent face/neck pain. These findings should be explored with research designs accounting for the natural history of Bell’s palsy.

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“…Another study suggested that parasympathetic dysfunction caused by ciliary ganglion ischemia could occasionally result in the mydriatic pupil as a manifestation of GCA [ 12 ]. Chiropractic manipulation and rehabilitation are known to treat neck tongue syndrome [ 13 ], regulate the autonomic nervous system and its projections to the central nervous system [ 14 ]. Similarly, spinal manipulation has biomechanical effects on symptom reduction through muscle relaxation and nerve release [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Giant cell arteritis: a cause of temporomandibular joint claudication

Chu¹,

Chiang²

2022

JMedLife

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The purpose of this case report was to benefit the clinical recognition and conservative management of giant cell arteritis (GCA) in temporal arteries associated with jaw claudication. Giant cell arteritis is a systemic inflammatory vasculitis that affects medium-to-large-sized arteries. Primarily affecting arteries in heads, especially in temples, chronic GCA can result in secondary headaches and even polymyalgia rheumatica. This is a case report of a 68-year-old female with a 10-year history of GCA. The patient presented jaw claudication, headache, and joint stiffness over 6 months. The left palpable superficial temporal artery was thickened and tendered. A full-spine radiograph revealed uneven shoulders, imbalanced jaws, and moderate lumbar scoliosis. After nine months with conservative management, the patient was completely recovered from the symptoms with significantly improved radiographic parameters. Patients with GCA can present with jaw claudication. Physiotherapy and chiropractic collaborations are options for patients with GCA who suffer from the chronic adverse effect of medicines. Clinicians should be aware of the common clinical findings associated with GCA when rehabilitation treatment is planned.

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Neck–tongue syndrome

Cited by 9 publications

References 20 publications

A Systematic Review of Case Reports on the Neck-Tongue Syndrome

A Systematic Review of Case Reports on the Neck-Tongue Syndrome

Concurrent Bell’s Palsy and Facial Pain Improving with Multimodal Chiropractic Therapy: A Case Report and Literature Review

Giant cell arteritis: a cause of temporomandibular joint claudication

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