Neck-Tongue Syndrome (नेक-टंग सिंड्रोम) एक दुर्लभ neurological disorder है जिसमें गर्दन की गति के दौरान जीभ में दर्द या झुनझुनी (tingling) महसूस होती है।
- पहली बार इसे 1980s में describe किया गया।
- Condition आमतौर पर cervical spine (C2 vertebra) और upper cervical nerves से जुड़ी होती है।
- Rare है, और ज्यादातर adolescents और adults में देखा जाता है।
Neck-Tongue Syndrome क्या है (What is Neck-Tongue Syndrome)
- Characterized by sudden neck movement (rotation या extension) पर ipsilateral tongue paresthesia (tingling, numbness)
- Pain या discomfort आमतौर पर occipital region (पीछे सिर) या neck में भी होता है
- Symptoms usually short-lived (seconds to minutes)
- Associated with cervical spine abnormalities
Neck-Tongue Syndrome कारण (Causes of Neck-Tongue Syndrome)
1. Cervical Spine Abnormalities
- C2-C3 facet joint subluxation or impingement
- Arthritis or degenerative disc changes
2. Trauma / Injury
- Whiplash injury or neck trauma
3. Nerve Compression
- Upper cervical nerves (C2 nerve root) compression
- Rarely, vertebral artery anomaly
4. Congenital / Idiopathic
- Some patients have structural predisposition from birth
- Idiopathic cases are reported
Neck-Tongue Syndrome लक्षण (Symptoms of Neck-Tongue Syndrome)
- Sudden sharp neck pain with rotation or extension
- Tingling, numbness, or burning sensation in one side of the tongue
- Pain may radiate to occipital region or upper neck
- Usually brief duration (seconds to minutes)
- Rare: headache, dizziness
Symptoms are triggered by specific neck movements।
Neck-Tongue Syndrome कैसे पहचाने (Diagnosis of Neck-Tongue Syndrome)
- Clinical History – episodes triggered by neck movement
- Physical Examination – neck mobility, palpation, neurological assessment
- Imaging – MRI / CT scan of cervical spine to detect facet joint subluxation, disc herniation, or nerve impingement
- Differential Diagnosis – rule out migraine, vertebrobasilar insufficiency, cervical radiculopathy
Accurate history and imaging are essential for correct diagnosis।
Neck-Tongue Syndrome इलाज (Treatment of Neck-Tongue Syndrome)
1. Conservative Management
- Neck exercises and physiotherapy – improve cervical mobility
- NSAIDs – reduce inflammation and pain
- Heat / cold therapy for symptomatic relief
2. Cervical Collar / Immobilization
- Short-term use to prevent triggering movements
3. Manual Therapy / Chiropractic
- Gentle manipulation by trained professional
- Avoid aggressive movements that worsen symptoms
4. Surgery (Rare Cases)
- Indicated only if structural abnormality or nerve compression is severe
- Examples: facet joint stabilization, decompression
5. Lifestyle Measures
- Avoid sudden or extreme neck rotation
- Maintain good posture
- Ergonomic adjustments during work or study
रोकथाम (Prevention)
- Avoid sudden neck movements or trauma
- Strengthen neck and upper back muscles
- Maintain good posture during sitting and sleeping
- Early physiotherapy in patients with neck pain or instability
सावधानियाँ (Precautions)
- Do not perform high-risk neck maneuvers without supervision
- Seek prompt evaluation if symptoms worsen, persist, or involve limb weakness
- Monitor for neurological deficits like numbness, weakness, or tingling beyond tongue
FAQs (अक्सर पूछे जाने वाले प्रश्न)
Q1. Neck-Tongue Syndrome में permanent damage हो सकता है?
Usually benign and transient, permanent nerve damage rare है।
Q2. क्या यह केवल एक तरफ होता है?
हाँ, most cases में ipsilateral (एक तरफ) tongue paresthesia होता है।
Q3. कितनी जल्दी recovery होती है?
Conservative treatment में weeks to months में improvement होती है।
Q4. क्या बच्चों में हो सकता है?
Rarely, adolescents में congenital facet anomalies के कारण cases reported हैं।
निष्कर्ष (Conclusion)
Neck-Tongue Syndrome (नेक-टंग सिंड्रोम) एक rare cervical spine disorder है, जिसमें specific neck movements से tongue tingling और neck pain होता है।
Early diagnosis, conservative management, physiotherapy और posture correction से symptoms control किए जा सकते हैं।
अगर किसी को neck rotation या extension पर tongue tingling, occipital pain दिखे, तो तुरंत neurologist या orthopedic specialist से consultation जरूरी है