Torticollis

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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.

Clinical Presentation

  • Idiopathic (80-90%)

Diagnosis

  • Clinical Diagnosis
  • Neck X-ray to rule out fracture or dislocation

Differential Diagnosis

  • Anterior horn disease
  • C1 and C2 fractures
  • Radiculopathy

Treatment

  • Benztropine
  • Muscle relaxants
  • Botulinum toxin
  • Physical Therapy

Disposition

See Also

  1. Retropharyngeal abscess

Source

  • UptoDate
  • Medscape
  • www.emedicinehealth.com