[Surgical treatment of vertical torticollis in nystagmus].
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Stiff neck in children is a quite frequent sign of various pathological processes, not always benign in nature. Here is referred the case of a extradural cervical tumor in which stiff neck, associated with nucal rigidity, was for a long time the only symptom of the underlying process. The association of cervical tumor with stiff neck as the only longlasting initial symptom has only sporadically been reported. The authors analyse the various causes of stiff neck from the clinical and anatomo-pathological viewpoints, including age of patient at onset.
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On behalf of the limited number of patients, statistical analysis and correlations had not been possible. It was evident however that two groups of patients can be differentiated: One with depressive-neurotic mechanisms and the other without signs of any neurotic-depressive state. It can be concluded that patients with depressive-neurotic signs give poor results after surgical procedures, whereas the other group gives satisfactory surgical results.
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