Torticollis in Infants with a History of Neonatal Abstinence Syndrome
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Updated: Feb 15, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Jennifer M McAllister1, Eric S Hall1, Gayle E R Hertenstein1
1Perinatal Institute, Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Insights
Infants with neonatal abstinence syndrome (NAS) have an increased risk of developing torticollis. Early identification and treatment are crucial for this vulnerable infant population.
Area of Science:
- Pediatrics
- Neonatal care
- Developmental neurology
Background:
- Neonatal abstinence syndrome (NAS) is a complex condition affecting infants exposed to substances in utero.
- Torticollis, characterized by neck muscle stiffness, can impact infant development and pose long-term challenges.
- Understanding potential comorbidities associated with NAS is critical for comprehensive infant care.
Purpose of the Study:
- To determine the incidence of torticollis in infants diagnosed with neonatal abstinence syndrome.
- To highlight the association between NAS and the development of torticollis.
- To emphasize the importance of monitoring for torticollis in infants with a history of NAS.
Main Methods:
- Retrospective cohort study design.
- Analysis of infant medical records for NAS diagnosis and torticollis incidence.
- Statistical assessment of the correlation between NAS and torticollis.
Main Results:
- The study identified a significant incidence of torticollis among infants with a history of NAS.
- Data indicates an elevated risk of torticollis in this specific infant cohort.
- Findings underscore a notable association between neonatal abstinence syndrome and the development of torticollis.
Conclusions:
- Infants with a history of neonatal abstinence syndrome exhibit a higher likelihood of developing torticollis.
- Early recognition and intervention for torticollis are essential in infants affected by NAS.
- This research supports the need for targeted screening and management strategies for torticollis in the NAS population.
Abstract:
In this retrospective cohort study, we assessed the incidence of torticollis in infants with a history of neonatal abstinence syndrome. Understanding the elevated risk of torticollis in this population is important for early identification and treatment.
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