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Related Experiment Video

Updated: Jul 9, 2025

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Benign paroxysmal torticollis.

Timothy Yates1

  • 1Headache and Facial Pain Group, University College London (UCL) Queen Square Institute of Neurology, National Hospital for Neurology and Neurosurgery, London, United Kingdom.

Handbook of Clinical Neurology
|December 3, 2023
PubMed
Summary

Benign paroxysmal torticollis is a rare episodic syndrome presenting as head tilt in infants. This condition may be an early form of migraine and often resolves by age four.

Keywords:
CACNA1AChildhoodEpisodic syndromeGeneticMigraineNeurodevelopmental delayParoxysmalTorticollisTortipelvis

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Area of Science:

  • Neurology
  • Pediatrics

Background:

  • Benign paroxysmal torticollis (BPT) is a rare episodic syndrome.
  • It is characterized by paroxysmal head tilt and associated symptoms, some overlapping with migraine.

Purpose of the Study:

  • To describe the characteristics of BPT.
  • To explore its relationship with migraine and other episodic syndromes.

Main Methods:

  • Literature review of BPT cases.
  • Analysis of clinical features and potential genetic associations.

Main Results:

  • BPT typically begins in the neonatal period and resolves by age three or four.
  • It is considered a potential early manifestation of migraine or migraine equivalent.
  • Emerging genetic associations link BPT to other paroxysmal syndromes.

Conclusions:

  • BPT is an early-onset episodic syndrome that may evolve into migraine.
  • Further research is needed due to its under-recognition.