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A pain in the neck
  1. Rachel A Lindor1,
  2. James L Homme2
  1. 1 Mayo Medical School, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
  2. 2 Department 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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  • Contributors This represents our original work and has not been previously published. Both authors contributed substantially to the drafting and revision of this piece, have read and approved this manuscript for submission, and are willing to be accountable for the information therein.

  • Funding None

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.