Torticollis: Difference between revisions
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*Common term for various conditions of head and neck dystonia | *Common term for various conditions of head and neck dystonia | ||
*spasmodic torticollis is an abnormal contraction of the muscle in one side of the neck. | *spasmodic torticollis is an abnormal contraction of the muscle in one side of the neck. | ||
*Idiopathic (80-90%) | *Idiopathic (80-90%) | ||
== | ==Clinical Features== | ||
* | *Painful neck with inability to fully range laterally | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Neck pain DDX}} | |||
*Anterior horn disease | *Anterior horn disease | ||
*C1 and C2 fractures | *C1 and C2 fractures | ||
*Radiculopathy | *Radiculopathy | ||
==Diagnosis== | |||
*Clinical Diagnosis | |||
*Neck X-ray to rule out fracture or dislocation | |||
==Treatment== | ==Treatment== | ||
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==Disposition== | ==Disposition== | ||
*Normally outpatient | |||
==See Also== | ==See Also== | ||
*[[Retropharyngeal abscess]] | |||
==Source== | ==Source== | ||
Revision as of 16:59, 25 September 2015
Background
- Common term for various conditions of head and neck dystonia
- spasmodic torticollis is an abnormal contraction of the muscle in one side of the neck.
- Idiopathic (80-90%)
Clinical Features
- Painful neck with inability to fully range laterally
Differential Diagnosis
Neck pain
- Musculoskeletal
- Torticollis
- Dystonic reaction
- Cervical spondylosis
- Cervical stenosis
- Cancer
- Epidural abscess
- Vertebral osteomyelitis
- Transverse myelitis
- Temporal arteritis
- Epidural hematoma (anticoagulation, hemophilia)
- Cervical disk herniation
- Blunt neck trauma
- Anterior horn disease
- Cervical fractures and dislocations
- Cervical radiculopathy
- Anterior horn disease
- C1 and C2 fractures
- Radiculopathy
Diagnosis
- Clinical Diagnosis
- Neck X-ray to rule out fracture or dislocation
Treatment
- Benztropine
- Muscle relaxants
- Botulinum toxin
- Physical Therapy
Disposition
- Normally outpatient
See Also
Source
- UptoDate
- Medscape
- www.emedicinehealth.com