HNPD (Head, Neck, Pain, Disorder) Clinical Sign: A Possible, New Clinical Sign Suggesting Serious Underlying Pathology in Head or Neck

Chatzintounas Thomas

Neurologist, Interbalcan Medical Center, Thessaloniki, Greece

Dr. Chatzintounas Thomas, Neurologist, Interbalcan Medical Center, Thessaloniki, Greece.

Keywords: Clinical Sign; Neck Pain; Vertigo; Lymphoma; Chordoma; Cerebellar Haemorrhage; Kinetic Behavior

Abstract

We describe a possible new clinical sign, which could denote serious, underlying pathology in posterior cranial fossa, the clivus or in the upper part of neck. For practical purposes instead of writer’s name as it is common, the given name indicates the presumably position of the underlying pathology and the mainclinical symptom (HNPD: Head, Neck, Pain, Disorder). This clinical sign comprises of a peculiar kinetic behavior - continuous, rapid movements of the head from side to side and vice versa, with intense restlessness - as a result of unbearable neck pain and/or vertigo. A similar kinetic behavior was not found in the literature search (Pubmed included) as a clinical manifestation - sequelae of any underlying pathology [1-3].

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