A paraspinal muscle spasm in neck leading to loss of normal | Figure 1

A paraspinal muscle spasm in neck leading to loss of normal lordosis

Patient a 32 year old female tailor by profession presenting with neck pain and radiculopathy in right upper limb with vertigo. Physiotherapy begun and hoping for the best.

Case Details

51 y/o female

In for treatment of chronic neck and back pain. Reports "hairline fracture" of neck several years ago after a car accident. Can someone tell me, is this what I'm seeing on the image? And is this consistent with a car accident?

25 years old female

Presented with hx of painless swelling in left side of the neck for 1 year duration. The condition started as a lump in the lower left part of the neck. The lump gradually increased in size.

• By examination: Localized swelling in the lower left part of the neck lateral to the thyroid prominence and anterior to the sternocleidomastoid muscle, not attached to the overlying skin, doughy in texture, not pulsating, negative translumination, not tender nor compressible by palpation.
• Investigation:
  • CBC: normal
  • ESR: 19
  • U/C of the neck: showing well defined solid mass at left upper aspect of the neck anterior to carotid with picture of vascularity within the mass.
• MRI: multiple enhancing soft tissues masses matted together are seen in both jugular groups (level I and level II) and some show necrotic region, marked enhancement is seen in contrast study.
• Mass excised and sent for histopathology,
• FNAC: negative for malignant cells in the aspirate.

Neck scoliosis

67 years old female patient.

Neck pain

With radiculopathy in right upper limb of a male aged 47 years. X-ray shows a cervical rib.

Additional Cases

A 52-year-old man

Presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.

A 28-year-old woman

Presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.

A 4-month-old male infant

Presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin.

Patient in late teens

Presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?