XXXX presenting with neck stiffness: report of a case and review of the literature.

@entity6010 @entity1 @entity954 @entity4048 @entity158 @entity1282 @entity4847 @entity4820
OBJECTIVE: @entity6010 rarely occur in the retropharynx with only three cases reported in the current literature. The most common symptom associated with @entity6010 is @entity1282 . We report a @entity6010 with an unusual clinical presentation of neck stiffness and @entity158 . STUDY DESIGN: Case report and review of literature. METHODS: A 42 year old @entity1 presented with incapacitating @entity4048 and neck stiffness as well as @entity1282 . Neurological work up was normal. Imaging revealed a hyper-dense, ill-defined, diffuse right retropharyngeal mass suggestive of a possible @entity4847 with no communication with the cervical spine. Surgical removal was uneventful and associated with a post-operative @entity4820 . In follow-up, @entity1282 and neck symptoms improved. CONCLUSION: @entity6010 can occur in a wide age range of @entity1 . @entity954 via a cervical approach offers definitive therapy but maybe associated with an iatrogenic @entity4820 for which the @entity1 should be counseled prior to operative intervention. @entity4048 is an atypical symptom that needs to be worked up to rule out a communication with the spinal column prior to surgical removal. @entity1 must be counseled that atypical symptoms may not completely resolve with surgical treatment.
