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A pain in the neck
  1. Rachel A Lindor1,
  2. James L Homme2
  1. 1Mayo Medical School, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
  2. 2Department of Emergency Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
  1. Correspondence to Dr James L Homme, Mayo Clinic College of Medicine, 200 1st St. SW, Rochester, MN 55905, USA; homme.james{at}

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A 41-year-old woman presented to the emergency department after developing severe neck pain while unloading groceries. The pain began at the base of her neck, radiated to the vertex of the skull, reached maximum intensity within 2–3 min, and was aggravated by head movement. Neurological examination was normal. Head CT showed focal hyperattenuation immediately anterior to …

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