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At least 559 records · Page 31Linked to original sources
PubMedDate not supplied

Atlantoaxial rotatory instability secondary to odontoid hypoplasia as a cause of acute torticollis in children: report of one case.

One patient with the chief complaint of acute torticollis was diagnosed as atlantoaxial rotatory instability secondary to hypoplasia of odontoid process. The diagnosis was confirmed by cervical radiography and computerized tomography. The attack of wryneck was first misdiagnosed as cervical muscle strain. Detailed physical examination revealed the tenderness to be located not at the sternocleidomastoid muscle. The fixed and painful rotatory deformity strongly indicated a cervical spinal lesion. Plain radiographic tests of the cervical spine revealed atlantoaxial rotational subluxation. Hypoplasia of the odontoid process, rarely reported as associated with this problem, was noted. Computerized tomographic tests further delineated the pathological alterations. Treatment with gentle reduction and traction for three days, and maintenance with neck collar for the three subsequent weeks, achieved a successful solution. No recurrence was noted after a two-year observation period.

Acute Disease↗
PubMed1996

[Sternocleidomastoid muscle lengthening for the cure of muscular torticollis].

A Z-plasty was designed to lengthen the sternocleidomastoid muscle for the treatment of muscular torticollis. Since September 1990, forty-nine patients (36 males, 13 females) have been treated. Their age ranged from 2 to 22 years old. Follow-up of there months to three years showed 95.9% of them were good results. The paper not only described the operative procedure, indications, choice of anaesthesia. postoperative functional exercise and the application of neck splint, but also emphasized the aesthetic effect to the operation.

Adolescent↗
PubMed1996

[Lessons from experience of bertrand's selective peripheral denervation for splenius type torticollis].

A 23-year-old male with splenius type torticollis underwent selective denervation of C1 and C2 roots and C3-C6 spinal posterior rami, with excellent results. Based on this experience, we stress the importance of dynamic EMG and thorough review of video recording for identifying the involved neck muscles. In the operative procedures, the nerve rami are identified under the semispinalis muscle. To dissect the correct plane under the semispinalis muscle, the key point to keep in mind is to follow the great occipital nerve to the proximal part. An ultrasonic blood flow meter is useful to locate the vertebral artery in the spaces between the occiput and the C1 lamina and between C1-C2 laminae. Because fine nerve branches run in the soft tissues over the laminae, to avoid transient neuroapraxia, dissection around the C1, C2 arches should not be carried out under the periosteum, as is usually done in case of laminectomy. Dissection of C1 and C2 rami as far as the very medial part is rather difficult because of bleeding from the venous plexus and the presence of the vertebral artery. Therefore, the intradural approach might be easier for sectioning the C1 and C2 roots. We would like to add these points to the original description by Bertrand.

Adult↗
PubMed1996

Intervertebral disk calcification: an unusual cause of acquired torticollis in childhood.

Intervertebral disk calcification in children can result in a syndrome of neck pain, muscle spasm, and torticollis. Usually the clinical course is benign with spontaneous recovery; however, occasionally nerve root or spinal cord compression can be seen. We report a seven-year-old patient with symptomatic cervical disk calcification and briefly discuss the salient clinical and radiographic features.

Calcinosis↗
PubMed1996

Fibromatosis colli: a common cause of neonatal torticollis.

In infants and children, cervical masses originate from a variety of pathologic, congenital and developmental conditions, and it is important to distinguish benign from serious lesions. Fibromatosis colli is a rare cervical lesion that typically presents in the neonatal period. It is the most common cause of neonatal torticollis and should be recognized by physicians caring for neonates and infants.

Fibroma↗
PubMed1997

Sternomastoid myoplasty: surgical correction of congenital torticollis.

OBJECTIVE: Functional sternomastoid myoplasty is a surgical procedure for the correction of congenital torticollis. It allows increment in muscle length without disrupting its bony attachments, hence preserving its function. The technique and rationale of the procedure are discussed. CONCLUSIONS: Observations in six patients indicate that the best functional and cosmetic results can be realized when surgery is performed during childhood.

Adult↗
PubMed1997

Measurement of head-turn in ocular torticollis.

There is a need for a simple and accurate method to measure head-turn in patients who suffer from torticollis secondary to ocular disease. In the technique described here, a fixation object is moved from a point in front of the patient to a point at which the patient's face is straight. The distance that the object is moved is proportional to the amount of head-turn the patient has. With a simple mathematical calculation, the angle of head-turn can be determined, even during a routine clinical evaluation.

Head Movements↗
PubMedDate not supplied

[Sandifer's syndrome: a rare form of torticollis in childhood. A report of a patient].

Sandifer syndrome is an uncommon clinical entity characterized by gastroesophageal reflux, torticollis and paroxysmal dystonic postures. For the wide variability in clinical expression it is diagnosed as neurological disease. We report on a 3-year-old patient who presented sudden extensions of the head and neck with tilting of the head one side and severe arching of the spine. It is presented a review of the related literature.

Child, Preschool↗
PubMedDate not supplied

[Results of surgical treatment of congenital muscle torticollis].

The article present results of the operative treatment of congenital muscular torticollis at the Department of Orthopaedics, Clinical Hospital Split from 1950 to 1995. 197 patients were operated and in 1995 50 patients responded for the follow-up. Our results confirm that the best results are obtained by open distal tenotomy of the sternocleidomastoid muscle after the first year of life. Children older than six years need bipolar tenotomy, and the results are poorer than in those operated in the first six years of life.

Adolescent↗
PubMedDate not supplied

Sternocleidomastoid pseudotumor of infants and congenital muscular torticollis: fine-structure research.

Fifty cases, 16 with sternocleidomastoid pseudotumor of infants (SCMPOI) and 34 with congenital muscular torticollis (CMT), were investigated by light and electron microscopy. The ultrastructure of the pseudotumor revealed that there were myoblasts, fibroblasts, myofibroblasts, and mesenchyme-like cells, which consisted of fibrous tissue and were regarded as fibroblasts only in the literature. The myoblasts showed the various stages of differentiation and degeneration. For those cases without mass, the collagen fibrils and fibrocytes were often arranged in tight parallel bundles in which some muscles showed normal structure and some with decreased myofibrillae. The mesenchyme-like cells and myoblasts found in the pseudotumor may be the key point to its pathologic characteristics.

Child↗
PubMed1998

[Ocular torticollis].

The author presents an account on different causes of ophthalmological torticollis and rotational nystagmus in paresis of the trochlear nerve and abducent nerve, in Duan's syndrome I or acute Brown's syndrome or in bilateral ptosis combined with paresis of the levators. He recommends different surgical techniques and prefers combined operations performed with a single anaesthesia in pareses of the levators, the abducent nerve and trochlear nerve. For release of the horizontal direct muscles within the framework of paretic affections of the eye he recommends adjustable elongations as described by Gonin-Hollwich. In ptosis he uses frontotarsal suspension as described by Fox, using lyophilized fasciae. The paper contains also a family history of congenital fibrous syndrome.

Adult↗
PubMed2001

Spasmodic torticollis and reproductive function in women.

This investigation assessed a possible relationship between idiopathic spasmodic torticollis (ST) and reproductive function in women. Fifth decade ST onset, the peak decade for menopause, was over represented. Menstrual exacerbation of symptoms was significantly more common than in controls. Oral contraceptive use and pregnancy did not have adverse effects. Reproductive disorders and hysterectomy were significantly more common than in neurological and normal controls. The possibility that ST onset and severity may relate to reproductive state and hormonal factors warrants further investigation.

Journal Article↗
PubMed1999

Ocular torticollis and facial asymmetry.

OBJECTIVE: Ocular torticollis secondary to congenital superior oblique palsy can be associated with facial asymmetry. The purpose of this study was to determine if other ocular causes of head tilting also carry the same association. DESIGN: The study design was clinical evaluation of patients. PARTICIPANTS: Fifteen patients with marked, moderate, or mild head tilts associated with dissociated vertical deviation (DVD), and 3 patients with nystagmus and a torsional null point. A control group was comprised of 3 patients with congenital superior oblique palsy, 3 with traumatic superior oblique palsy, and two normal patients. INTERVENTION: A masked observer analyzed full-face photographs of the subjects. MAIN OUTCOME MEASURE: The presence of facial asymmetry. RESULTS: Facial asymmetry due to bending in/of the sagittal plane of at least two degrees was found in 3 of 4 patients with a marked head tilt from DVD, in 2 of 5 five patients with a moderate head tilt from DVD, in one of 3 patients with a head tilt due to nystagmus, and in one of 3 patients with a head tilt due to congenital superior oblique palsy. None of the patients with a mild head tilt from DVD, traumatic superior oblique palsy, or the normal controls had clinically noticeable facial asymmetry. CONCLUSION: Facial asymmetry can be associated with abnormal head postures, specifically, large head tilts from DVD or nystagmus.

Facial Asymmetry↗