TY - JOUR T1 - An Unusual Cause of the Neck-Tongue Syndrome JF - The Journal of Rheumatology JO - J Rheumatol SP - 857 LP - 857 DO - 10.3899/jrheum.080993 VL - 36 IS - 4 AU - SURABHI WIG AU - CHARLES ROMANOWSKI AU - MOHAMMED AKIL Y1 - 2009/04/01 UR - http://www.jrheum.org/content/36/4/857.abstract N2 - The neck-tongue syndrome (NTS) is a rare clinical entity characterized by paroxytic episodes of intense pain in upper cervical or occipital area associated with disorders of ipsilateral hemi-tongue presenting as numbness, pseudoathetosis, dysarthria, and lingual paralysis aggravated with neck movement1,2. We describe a case of NTS with an unusual etiology. A 74-year-old woman presented with severe pain at the back of the neck that improved spontaneously within 2 weeks. During this time she developed dysarthria and was observed to have a left-sided lingual paralysis. Systemic enquiry was unremarkable. No other focal neurological abnormality was detected. She had marked nodal osteoarthritis in her hands and her cervical … Address reprint requests to Dr. S. Wig, Department of Rheumatology, Royal Hallamshire Hospital, Sheffield, UK. E-mail: surabhiwig{at}gmail.com ER -