... Patients with congenital muscular torticollis present with persistent head tilt to the affected side and lateral rotation of the head to the contralateral side, which has been present since birth. The etiology of this contracture of the sternocleidomastoid muscle is likely related...

... Acute torticollis can result from any inflammatory process that irritates the cervical muscles, nerves, or vertebrae. There is unilateral spasm of the SCM such that the head is positioned with the occiput rotated to the ipsilateral side and the chin is rotated to the contralateral side...

... Many young infants exhibit a head tilt or head turn preference that is exacerbated by back sleeping. This can lead to flattening of the posterior aspect of the head. The current campaign to encourage back sleeping appears to be causing an increased prevalence of this primary form of torticollis...

... Torticollis, or wryneck, is stiff neck associated with muscle spasm in previously normal children. There are congenital causes but discussion will focus on acquired muscular torticollis, which is often seen in the emergency department. Most common symptoms are neck muscle pain, and inability...

... Figure 213-1 Congenital muscular torticollis in a young boy. The tight left sternocleidomastoid causes the left head tilt and chin rotation to the right. The tight left sternocleidomastoid muscle is evident. Torticollis (wryneck) is a head position whereby the ear is tilted to 1...

... ) Torticollis. Neck pain, torticollis, limitation of neck movements, and muscle spasm are some of the findings seen with cervical spine injury. However, torticollis can result from many etiologies, as seen in this child presenting with acute onset of torticollis not related to trauma. He woke up with muscle...

.... Pediatric trauma patients with predisposing conditions or high-risk mechanism should undergo appropriate radiologic imaging. Recent data suggest that imaging should be obtained if any of the following are present: neck pain, midline posterior neck tenderness, decreased range of motion, torticollis...

... FIGURE 17.26 Dystonic Reaction. ( A ) Extrapyramidal signs seen here such as torticollis, inability to speak, and trismus were the presenting complaints in this girl who was brought to the ED from the school, and there was no history available. Based on her clinical findings, phenothiazine...

... ) Five weeks after the battery removal, the same patient presented to the ED with new onset of torticollis. Sagittal reconstruction of the cervical spine shows disc space loss and vertebral end plate irregularity at T1–T2 level (arrow) compatible with spondylodiscitis. ( E ) Sagittal T2 image...

..., and patients are usually awake, alert, and aware of their symptoms. Dystonic reactions manifest as oculogyric crisis, torticollis, opisthotonos, trismus, difficulty speaking, facial grimacing, or chorea-like movements. In akathisia, typically seen 5 to 60 days after starting neuroleptic therapy...

... the barium-filled esophagus (arrow), found to be an inflammatory polyp at endoscopy. This study was performed 48 hours following the removal of the battery. ( D ) Five weeks after the battery removal, the same patient presented to the ED with new onset of torticollis. Sagittal reconstruction of the cervical...

... Figure 26–9. Torticollis in a young male. Injury to the sternocleidomastoid muscle during delivery or disease affecting the cervical spine in infancy, such as congenital vertebral anomalies, may cause torticollis. When contracture of the sternocleidomastoid muscle causes torticollis...

... Figure 30–30 Fibromatosis colli. A . A longitudinal sonographic image of a 25-day-old infant with torticollis shows marked enlargement and moderate hyperechogenicity of the right SCM ( arrows ). B . The left SCM muscle ( arrow ) is normal. ...

... Figure 22–9 Klippel-Feil syndrome and Sprengel deformity. A. A lateral radiograph of an infant with torticollis, a short neck, and elevated shoulders shows multiple neural arch fusions of the cervical spine. Large omovertebral bones are present ( arrow ). B. CT confirms the presence...

... Figure 15-17 Torticollis in a 20-month-old child with hemifacial distortion and plagiocephaly. ...