Torticollis: Difference between revisions

 
(2 intermediate revisions by the same user not shown)
Line 1: Line 1:
==Background==
==Background==
[[File:Sternohyoid muscle.png|thumb|Anterior muscles of the neck.]]
*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.
Line 9: Line 10:
==Differential Diagnosis==
==Differential Diagnosis==
{{Neck pain DDX}}
{{Neck pain DDX}}
*Anterior horn disease
{{Jaw spasms DDX}}
*[[cervical spine fractures and dislocations|C1 and C2 fractures]]
{{Movement disorder DDX}}
*Radiculopathy


==Evaluation==
==Evaluation==

Latest revision as of 14:49, 11 December 2021

Background

Anterior muscles of the neck.
  • 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

Jaw Spasms

Movement Disorders and Other Abnormal Contractions

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