Difference between revisions of "Torticollis"

(Created page with "==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. ==Clinic...")
 
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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.
 
==Clinical Presentation==
 
 
*Idiopathic (80-90%)
 
*Idiopathic (80-90%)
  
==Diagnosis==
+
==Clinical Features==
*Clinical Diagnosis
+
*Painful neck with inability to fully range laterally
*Neck X-ray to rule out fracture or dislocation
 
  
 
==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]]
+
*[[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

  • 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