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Neck pain and paraplegia
  1. Jeyasakthy Saniasiaya
  1. Department of Otorhinolaryngology, Hospital Tuanku Ja'afar, Seremban, Negeri Sembilan, Malaysia
  1. Correspondence to Dr Jeyasakthy Saniasiaya, Otorhinolaryngology, Hospital Tuanku Ja'afar Seremban, Seremban 70300, Malaysia; shakthy_18{at}yahoo.com

https://doi.org/10.1136/emermed-2020-209554

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    Clinical Introduction­

    A previously healthy 70-year-old man presented with 3-day history of neck pain, lower limb weakness and urinary incontinence. Patient claims there was no prior fever, recent travelling or sick contact. On examination, there was no neck swelling, intact Brudzinski and Kernig’s signs. Bilateral lower limb strength was Medical Research Council grade 0/5 with intact proximal muscle strength. Vital signs as well as routine blood investigations were unremarkable. Lateral soft tissue neck (STN) radiograph was performed­ (figure 1).

    Figure 1

    Lateral soft tissue neck radiograph revealed a widening of prevertebral soft tissue from C3 to C6, reversed cervical lordosis with evidence …

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    Footnotes

    • Collaborators JS is the sole author.

    • Contributors I am the sole author.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Patient consent for publication Obtained.

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