Difference between revisions of "Torticollis"

(Diagnosis)
Line 16: Line 16:
 
==Diagnosis==
 
==Diagnosis==
 
*Clinical Diagnosis
 
*Clinical Diagnosis
*Neck X-ray to rule out fracture or dislocation
+
**Consider cervical X-ray to rule out fracture or dislocation (unlikely to be necessary if no midline tenderness or history of trauma)
  
 
==Treatment==
 
==Treatment==

Revision as of 17:08, 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
    • Consider cervical X-ray to rule out fracture or dislocation (unlikely to be necessary if no midline tenderness or history of trauma)

Treatment

  • Benztropine
  • Muscle relaxants
  • Botulinum toxin
  • Physical Therapy

Disposition

  • Normally outpatient

See Also

Source

  • UptoDate
  • Medscape
  • www.emedicinehealth.com