Sjaastad O, Bakketeig L S
Department of Neurology, St. Olavs. Hospital, Trondheim University Hospitals (NTNU), Trondheim, Norway.
Cephalalgia. 2006 Mar;26(3):233-40. doi: 10.1111/j.1468-2982.2006.00926.x.
A search has been made for the neck-tongue syndrome. It started out with a systematic inquiry during the Vågå study of headache epidemiology during the years 1995-97. Two cases were detected relatively early during the study. This led to a scrutiny of such cases also in our hospital headache practice. The origin - and the basis of the study, nevertheless, was the Vågå study. In the Vågå study, where 1838 18-65-year-old parishioners were examined, there were four neck-tongue syndrome cases (N-TS), i.e. a prevalence of approximately 0.22%. N-TS may be more frequent than hitherto surmised. A variant was observed in one case; a young male: instead of numbness, a 'spasm' seemed to occur in the tongue. None of the four had at any time consulted their physician for their complaints. In our regular headache practice, two new cases were detected. In one of them and in one of the Vågå cases, there was a combination with ipsilateral cervicogenic headache (CEH). In N-TS, there may be both ipsilateral headache and upper extremity sensory phenomena, a constellation reminiscent of CEH. The possible pathogenetic relationship between N-TS and CEH is therefore discussed in some detail.
针对颈舌综合征展开了一项调查。这项调查始于1995年至1997年瓦格地区头痛流行病学研究期间的系统询问。在该研究相对早期阶段发现了两例病例。这促使我们对本院头痛门诊中的此类病例也进行了仔细审查。然而，该研究的起源及基础是瓦格地区的研究。在瓦格地区的研究中，对1838名18至65岁的教区居民进行了检查，发现了4例颈舌综合征（N - TS）病例，即患病率约为0.22%。颈舌综合征可能比迄今推测的更为常见。在1例病例中观察到一种变异情况；一名年轻男性：舌头未出现麻木，而是似乎发生了“痉挛”。这4例患者均未曾因自身症状咨询过医生。在我们的常规头痛门诊中，又发现了2例新病例。其中1例以及瓦格地区研究中的1例与同侧颈源性头痛（CEH）合并存在。在颈舌综合征中，可能同时存在同侧头痛和上肢感觉异常现象，这一症状组合让人联想到颈源性头痛。因此，对颈舌综合征与颈源性头痛之间可能的发病机制关系进行了较为详细的讨论。
