TY - JOUR T1 - A pain in the neck AU - Munoz J, Ali H Y1 - 2012/07/11 N1 - 10.1001/jama.2012.4295 JO - JAMA SP - 182 EP - 183 VL - 308 IS - 2 N2 - A 68-year-old female smoker recently diagnosed with small cell lungcancer presents with a bulging area on her neck, behind her right ear(Figure 1). The patient denies headache or vomiting. Physical examination is remarkable for ataxia with chorea, particularly of her right upper extremity, which has remained relatively unchanged for the last few years. The patient has a history of hemangioblastoma resected 12 years earlier, which recurred after 3 years, at which time she had a second resection and radiation therapy, with poor follow-up since then. SN - 0098-7484 M3 - doi: 10.1001/jama.2012.4295 UR - http://dx.doi.org/10.1001/jama.2012.4295 ER -