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Approach to abnormal head posture.

Samira Yadegari1,2

  • 1Department of Neuro-ophthalmology and Strabismus, Farabi Eye Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran.

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|July 8, 2024
PubMed
Summary
This summary is machine-generated.

Abnormal head posture (AHP) has diverse causes beyond eye conditions, requiring broader clinical awareness. Recognizing the wide spectrum of AHP etiologies is crucial for accurate diagnosis and preventing adverse outcomes.

Keywords:
Abnormal head postureetiologynon-ocularoculartorticollis

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Area of Science:

  • Neurology
  • Ophthalmology
  • Otolaryngology

Background:

  • Abnormal head posture (AHP) is a deviation from the normal upright head position.
  • Patients often present to ophthalmology clinics, but many etiologies are not ophthalmologic.
  • AHP involves complex neurological control, including vestibular nuclei processing sensory input.

Purpose of the Study:

  • To comprehensively review and categorize the various etiologies of abnormal head posture.
  • To increase awareness among clinicians regarding the diverse causes of AHP.
  • To guide appropriate diagnostic workups and prevent adverse patient outcomes.

Main Methods:

  • Literature search of PubMed, Scopus, and Google Scholar (1975–2023).
  • Identification, evaluation, summarization, and categorization of AHP etiologies.
  • Review of characteristics of AHP based on etiology.

Main Results:

  • AHP can arise from ocular, neurological, orthopedic, otolaryngological, and gastroenterological factors.
  • Diverse causes of AHP may be unrecognized by ophthalmologists.
  • Lack of awareness can lead to unnecessary investigations or missed critical diagnoses.

Conclusions:

  • A broad understanding of AHP causes is essential for effective patient management.
  • Timely recognition of all potential etiologies, including serious conditions, is critical.
  • This review categorizes AHP causes to aid clinicians in diagnosis and treatment.