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Updated: May 7, 2026

Anterior Cervical Discectomy and Fusion in the Ovine Model
Published on: October 5, 2009
Case report: Cervical torticollis as a presentation of cervical discitis in an infant
Daanyaal Ashraf1, Mohammed Fadelalla2, Emer Campbell2
1University of Glasgow, Glasgow, Scotland.
Insights
Cervical discitis, a rare cause of infant torticollis, was successfully treated with antibiotics. This case highlights the importance of considering less common diagnoses for persistent neck tilting in children.
Area of Science:
- Pediatric Medicine
- Infectious Diseases
- Orthopedic Surgery
Background:
- Cervical torticollis in infants often presents with a broad differential diagnosis, requiring careful evaluation.
- Congenital muscular torticollis is the most common cause, but acquired forms can stem from trauma, inflammation, infection, or neoplasms.
Introduction:
Cervical torticollis is a relatively common presentation in infants and children, but its broad differentials necessitate thorough evaluation to exclude more serious underlying pathology. Congenital muscular torticollis is the most frequent cause and acquired torticollis may arise from trauma, inflammation, infection or even neoplastic conditions.
Case Report:
We present a case of a 10-month old female who developed cervical torticollis without any systemic signs of infection. Inflammatory markers and white cell count were within normal limits. MRI imaging demonstrated T2 hyperintensity at the C3/4 intervertebral disc and adjacent vertebral bodies which was suggestive of cervical discitis, a rarer and under-recognised cause of torticollis in infants. After multidisciplinary discussion empirical oral antibiotics were commenced, resulting in rapid clinical improvement. The patient was reviewed in 6 weeks with a follow-up MRI, showing improvement in their condition and completed the 12 week course of antibiotics without any further issues.
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