What syndrome may patients experience due to Alar Ligament Instability?

• A. Nerve Root Syndrome
• B. Horner's Syndrome
• C. Neck Tongue Syndrome
• D. Cauda Equina Syndrome

Answer: (C)

Alar ligament instability can lead to a range of neurological symptoms, and one recognized consequence is Neck Tongue Syndrome. This condition is characterized by symptoms that may include pain or paresthesia in the tongue and neck, typically due to irritation of the second cervical nerve root or its connections. The alar ligaments play a critical role in stabilizing the upper cervical spine and cranial motion, and when they become unstable, it can result in altered neurological function, manifesting as symptoms in the neck and tongue areas.

Neck Tongue Syndrome is particularly notable because it highlights the correlation between ligamentous support in the cervical region and neurological function, emphasizing the importance of the alar ligaments in preventing abnormal movement that could affect nerve roots. Understanding this syndrome assists healthcare professionals in diagnosing and managing upper cervical spine instability and its potential neurological repercussions.