Difference between revisions of "Torticollis"

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==Clinical Features==
 
==Clinical Features==
*Painful neck with inability to fully range laterally
+
*[[Neck pain]] with inability to fully range laterally
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Neck pain DDX}}
 
{{Neck pain DDX}}
 
*Anterior horn disease
 
*Anterior horn disease
*C1 and C2 fractures
+
*[[cervical spine fractures and dislocations|C1 and C2 fractures]]
 
*Radiculopathy
 
*Radiculopathy
  
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==Management==
 
==Management==
 
===Acute===
 
===Acute===
*Pain control and muscle relaxation (PO [[Benzodiazepine]] or [[Opioid]])
+
*Pain control and muscle relaxation (PO [[benzodiazepine]] or [[opioid]])
  
 
===Chronic===
 
===Chronic===

Revision as of 18:51, 28 September 2019

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.
  • Cause is generally idiopathic (80-90%)

Clinical Features

  • Neck pain with inability to fully range laterally

Differential Diagnosis

Neck pain

Evaluation

  • Clinical Diagnosis
  • Consider cervical X-ray to rule out fracture or dislocation (unlikely to be necessary if no midline tenderness or history of trauma)

Management

Acute

Chronic

  • Benztropine
  • Muscle relaxants
  • Botulinum toxin
  • Physical Therapy

Disposition

  • Discharge

See Also

References