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Acquired torticollis in children
M L Kahn1, R Davidson, D S Drummond
1Orthopaedic Service, Walson Army Community Hospital, Fort Dix, New Jersey.
Insights
Acquired torticollis in children can signal serious underlying conditions. Prompt, thorough evaluation including physical examination is crucial for accurate diagnosis and timely treatment.
Area of Science:
- Pediatrics
- Neurology
- Ophthalmology
Background:
- Acquired torticollis in children presents a diagnostic challenge due to its diverse etiology.
- It can be an early sign of severe or life-threatening conditions.
Observation:
- The symptom may stem from musculoskeletal, infectious, neurologic, or neoplastic disorders.
- A comprehensive physical examination is the essential first step in assessment.
Findings:
- A broad spectrum of potential diagnoses necessitates a methodical workup.
- Specialty consultations and various tests are often required.
Implications:
- Early recognition and evaluation of acquired torticollis are vital for managing potentially critical pediatric conditions.
- Considering all possible causes, common or rare, ensures appropriate patient care.
Abstract:
Acquired torticollis in children is a symptom that may be due to a number of underlying causes, some of which are severe and life threatening. Musculoskeletal, ophthalmologic, infectious, neurologic, and neoplastic conditions may present early with only torticollis. Because torticollis is a symptom, the broad spectrum of possible diagnoses requires a thorough and methodical workup. A wide variety of tests may be necessary, as well as specialty consultation. No matter how common or rare the disorder, it must be considered when evaluating a child with acquired torticollis. The first step in evaluation is always a careful and complete physical examination. An outline of the disorders associated with torticollis is presented, as are illustrative case histories.