An age 55/yr, weight 99 kg. Presentation with pain in Right shoulder ass with Neck stiffness.Treated with home remedies. After 48 hours he develope HAND -DROP of Of hand with severe burning pain proximal Left hand. O/E Afebrile ,BP 160/100, No Edema, No cyanosis, pulse98/min. RS: RB=BS.CNS: DROP-HAND, MP-Gr 3Power.

CVS: NAD. Treatment: On the conservative line of treatment. Investigation: X-rays C S Spine B/W.+Oblique view. MRI: of Cervical region. Diagnosis: 1: Hyperabduction Syndrome 2: Cervical Syndrome .3: Panipat Syndrome .4: Scalenus Syndrome.