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Stiff neck

Neck pain is most often related to injury, tension, arthritis, or chronic misuse of the neck. However, in rare cases neck stiffness may be a sign of bleeding or infection (meningitis, encephalitis, or an abscess) within or around the brain.

A stiff neck may be a symptom of one of these serious conditions when it:

  • Develops rapidly and occurs along with other symptoms, such as nausea or vomiting, fever, headache, sleepiness, confusion, extreme grouchiness, or a seizure.
  • Occurs in the middle of the back of the neck (not to one side or the other) and causes pain when the person tilts the head backward or forward. The person may be unable to move the chin toward the chest, for example.
  • Is unexplained (for example, there was no injury and the person did not sleep in an awkward position).
Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Editor Sydney Youngerman-Cole, RN, BSN, RNC
Associate Editor Tracy Landauer
Primary Medical Reviewer William M. Green, MD
- Emergency Medicine
Specialist Medical Reviewer Andrew Swan, MD, CCFP, FCFP
- Family Medicine
Last Updated April 24, 2007

WebMD Medical Reference from Healthwise

Last Updated: April 24, 2007
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.