A 37-year-old woman who had a cervical lymph node biopsy three months earlier presented with pain and stiffness of the right upper back muscles that did not respond to gabapentin. She developed tingling of the right little finger a couple of weeks earlier. A chiropractic manipulation gave her temporary relief.

Find the answer and diagnosis in the next edition of Practical Neurologyor online, posted along with the patient video at PracticalNeurology.com.

Case selected from Dr. Shaibani’s Video Atlas of Neuromuscular Diseases, now available from Oxford University Press. Aziz Shaibani, MD, FACP, FAAN is Director of Nerve & Muscle Center of Texas and Clinical Professor of Medicine at Baylor College of Medicine in Houston, TX. He is also Adjunct Professor of Neurology at Kansas University Medical Center in Kansas City, Kansas.