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The nuchal ligament extends from the external occipital protuberance on the skull and median nuchal line to the spinous process of the seventh cervical vertebra in the lower part of the neck. [ 1 ] From the anterior border of the nuchal ligament, a fibrous lamina is given off.
A violently ill patient with neck stiffness during the Texas meningitis epidemic of 1911 and 1912. Neck stiffness, stiff neck and nuchal rigidity are terms often used interchangeably to describe the medical condition when one experiences discomfort or pain when trying to turn, move, or flex the neck.
The nuchal fascia is a fascia covering the autochthonous musculature of the neck as a part of the cervical fascia.It proceeds the thoracolumbar fascia to the top (cranial). ). The fascia itself is made of two parts: A superficial layer (lat.: Fascia nuchae superficialis) and a deeper layer that is located among the Trapezius muscle and that sheaths the deeper cervical musculature from dorsal s
Meningism is a set of symptoms similar to those of meningitis but not caused by meningitis. [1] [3] [4] Whereas meningitis is inflammation of the meninges (membranes that cover the central nervous system), meningism is caused by nonmeningitic irritation of the meninges, usually associated with acute febrile illness, [1] [2] especially in children and adolescents. [2]
The nuchal lines are four curved lines on the external surface of the occipital bone: The upper, often faintly marked, is named the highest nuchal line, but is sometimes referred to as the Mempin line or linea suprema, and it attaches to the epicranial aponeurosis. Below the highest nuchal line is the superior nuchal line.
The nuchal ligament and trapezius muscle attach to it. The inion (ἰνίον, iníon, Greek for the occipital bone) is used as a landmark in the 10-20 system in electroencephalography (EEG) recording. Extending laterally from it on either side is the superior nuchal line, and above it is the faintly marked highest nuchal line.
Disorders of the neck are a common source of pain. The neck has a great deal of functionality but is also subject to a lot of stress. Common sources of neck pain (and related pain syndromes, such as pain that radiates down the arm) include (and are strictly limited to): [11] Whiplash, strained a muscle or another soft tissue injury
Patients presenting with a headache originating at the posterior skull base should be evaluated for ON. This condition typically presents as a paroxysmal, lancinating or stabbing pain lasting from seconds to minutes, and therefore a continuous, aching pain likely indicates a different diagnosis. Bilateral symptoms are present in one-third of cases.