Abstract
Nasopharyngeal cysts are rare, small in size and asymptomatic, usually diagnosed as in incidental finding on MRI. Large cyst commonly presents with obstructive symptoms. Tornwaldt cysts occur in the midline bursa of the nasopharynx above the upper border of the superior constrictor muscle. They represent as a communication between notochord remnants and the pharyngeal endoderm. We report this case because of its presentation and size (2.5 × 2 cm). It was presented as intermittent cervical pain, stiffness and vertigo because of prevertebral cervical muscle spasm due to cyst and nasal symptoms were not predominant. Although rare, it should be kept as a differential diagnosis for cervical myelgia and stiffness.
References
Mukherji SK (2003) Pharynx. In: Som PM, Curtin HD (eds) Head and neck imaging, 4th edn. Mosby, St. Louis, pp 1507–1509
Eloy P, Watelet JB, Hatert AS, Bertrand B (2006) Thornwaldt’s cyst and surgery with powered instrumentation. B-ENT 2(3):135–139
Miyahara H, Matsunaga T (1994) Tornwaldt’s disease. Acta Otolaryngol Suppl 517:36–39
Yanagisawa E, Yanagisawa K (1994) Endoscopic view of Thornwaldt cyst of the nasopharynx. Ear Nose Throat J 73(12):884–885
Yousem DM (1998) Case review: head and neck imaging. Mosby, St. Louis
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Baisakhiya, N., Deshmukh, P. & Pawar, V. Tornwaldt Cyst: A Cause of Neck Pain and Stiffness. Indian J Otolaryngol Head Neck Surg 63 (Suppl 1), 147–148 (2011). https://doi.org/10.1007/s12070-011-0185-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-011-0185-y