The neck-tongue syndrome following cervical whiplash injury

Chirchiglia, Domenico; Torre, Attilio Della; Caldarola, Pasquale; Pugliese, Dorotea; Gabriele, Donatella

doi:10.1016/j.inat.2018.10.002

Cited by 1 publication

(3 citation 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: 97%

“…According to the reported characteristics of NTS, it can be divided into uncomplicated NTS and complicated NTS [ 4 ]. Uncomplicated NTS is related to idiopathic, hereditary, and trauma, and complicated NTS is reported to appear in patients with underlying diseases [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Pharmacological treatments include antiepileptic drugs, antidepressants, neuropathic pain modulators, and nonsteroidal anti-inflammatory drugs [ 7 , 11 , 12 ]. Non-pharmacological treatments include cervical collar, physical therapy, exercise, and neuromuscular re-education [ 4 , 11 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

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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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