Our study evidenced abnormal static and dynamic balance parameters in chronic neck pain patients with vertigo. These disorders can be explained by impaired cervical proprioception and neck movement limitations. Headache was more frequent in these patients.

In a group of patients with symptoms suggestive of head and neck malignancy, only 12 per cent were ultimately diagnosed with cancer. Of all the patients within the trust diagnosed with head and neck cancer, 44 per cent had come from outside the urgent referral pathway.

Tonsillectomy is one of the commonest procedures performed in the United Kingdom. Peri-operative infiltration of local anaesthetic is a well documented adjunct to post-operative analgesia. We report the first case of temporary Horner's syndrome in a patient who received such treatment and postulate an anatomical explanation.

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