Torticollis
August 19th, 2017
Overview
Look For
- Twisting of the head and neck toward a shortened sternocleidomastoid, with rotation of the chin in the opposite direction. Determine whether this occurs in episodes or is present all of the time.
Causes of Torticollis
Episodic (Paroxysmal)
- Benign
- Spasm
- Increased ICP
- GORD - Sandifer syndrome
- Medications - antipsychotics
- Psychiatric - conversion disorder
Static (Nonparoxysmal)
- Neurological - brainstem lesion, cerebellar lesion, basal ganglia lesion, spinal cord lesion
- Bony - congenital, trauma, inflammatory
- Soft tissue - infectious
- At birth - breech presentation, birth trauma
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