7 year old girl presented with neck pain and stiffness with 10 days duration. General examination , IQ , Higher Mental functions with in normal limits. No history of FEVER / INJURY / VOMITING

(Edited)
LikeAnswersShare

Any H/O fever, vomiting, injury, Adv. CSF to rule out meningitis. Adv. CT scan head. Treat accordingly.

No fever No vomiting No Injury Neck stiffness - muscular stiffness to lateral movements
0

View 1 other reply

Adv. CSF EXAM, CT SCAN OF BRAIN. RX. MUSCLE RELAXANTS AND ANALGESIC COMBINATION DRUGS. ORTHOPAEDIC COMSULTATION TO EXCLUDE SPINE INVOLVEMENT. ? CERVICAL SPONDYLOSIS. X- RAY OF CHEST IS WNL

viral myositis TM arthritis cervical spondylitis are DDS

No bony abnormality detected at cervical spine and dorso-lumbar vertebrae. Adv CT scan.

Cervical muscle spasm

Extraosseous cause? Soft tissue cause? Throat infection? To be ruled out. Low dose anti inflammatory drugs for few days. CBC.under observation.

MRI brain.to exclude sol.anagesic

Adenoid hypertrophy

Cases that would interest you