Torticollis in children with enlarged vestibular aqueducts.

Autor: Brodsky JR; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA; Harvard Medical School, 243 Charles Street, Boston, MA, 02114, USA. Electronic address: jacob.brodsky@childrens.harvard.edu., Kaur K; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA., Shoshany T; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA., Manganella J; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA., Barrett D; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA., Kawai K; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA; Harvard Medical School, 243 Charles Street, Boston, MA, 02114, USA., Murray M; Northeastern University, 360 Huntington Ave, Boston, MA, 02115, USA., Licameli G; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA; Harvard Medical School, 243 Charles Street, Boston, MA, 02114, USA., Albano V; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA., Stolzer A; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA., Kenna M; Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA; Harvard Medical School, 243 Charles Street, Boston, MA, 02114, USA.
Jazyk: angličtina
Zdroj: International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2020 Apr; Vol. 131, pp. 109862. Date of Electronic Publication: 2020 Jan 07.
DOI: 10.1016/j.ijporl.2020.109862
Abstrakt: Objectives: To evaluate the association between torticollis and enlarged vestibular aqueduct (EVA).
Methods: An online/phone survey was administered to parents of 133 children diagnosed with the following disorders: EVA, GJB2 (Connexin 26) mutations associated congenital hearing loss and epistaxis (control). The survey included questions regarding symptoms of torticollis, vertigo, and hearing loss.
Results: Patients with EVA had a 10-fold greater odds of having torticollis than controls (31% vs. 4%; OR = 10.6; 95% CI: 2.9, 39.2). No patients with GJB2 had a reported history of torticollis. Torticollis preceded the diagnosis of hearing loss in most (87%) patients with EVA who had a reported history of torticollis. EVA patients were more likely to have reported motor delay than controls (40% vs. 15%; p = 0.002). EVA patients with prior torticollis (80%; 12/15) were more likely to have balance impairment than EVA patients without prior torticollis (12%; 4/33; p < 0.001). Twelve patients had a reported history of paroxysmal torticollis, all of whom had EVA.
Conclusion: Torticollis in infants may be a marker of EVA. Infants with torticollis should be monitored closely for hearing loss and motor delay, especially when the torticollis is paroxysmal.
Competing Interests: Declaration of competing interest None.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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