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13.5 Neck-tongue syndrome


Immediate-onset, unilateral, sharp or stabbing and usually severe occipital and/or upper neck pain brought on by sudden rotatory head movement, accompanied by abnormal sensation and/or posture of the ipsilateral tongue.

Diagnostic criteria:
  1. At least two episodes fulfilling criteria B-D
  2. Sharp or stabbing unilateral pain1 in the upper neck and/or occipital region with concurrent abnormal sensation and/or posture of the ipsilateral tongue
  3. Precipitated by sudden turning of the neck
  4. Lasting from seconds to several minutes
  5. Not better accounted for by another ICHD-3 diagnosis.

There may or may not be simultaneous dysaesthesia.


A recent study has described this condition in detail, warranting its promotion from the Appendix (where it appeared in ICHD-3 beta).