Difference between revisions of "Torticollis"

(Management)
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==Management==
 
==Management==
 
===Acute===
 
===Acute===
*Pain control and muscle relaxation (PO [[benzodiazepine]] or [[opioid]])
+
*[[analgesia|Pain control]] and muscle relaxation (PO [[benzodiazepine]] or [[opioid]])
  
 
===Chronic===
 
===Chronic===

Revision as of 22:53, 30 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