A previously healthy 43-year-old woman presented to the emergency department with a 3-day history of gradually worsening throat pain; severe neck pain, which she described as a “shocklike sensation”; limited range of motion in her neck; and decreased oral intake due to odynophagia. She denied fever, chills, cough, dyspnea, trismus, otalgia, and dysphonia. She had no history of a recent upper respiratory tract infection or trauma and no family history of head and neck cancer. She admitted to smoking one-half pack of cigarettes per week and occasional alcohol intake.
Ahmed OH, German MA, Handwerker J, Bhandarkar ND. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2012;138(6):599. doi:10.1001/archoto.2012.519a