The Spectrum of Underlying Diseases in Children with Torticollis
| Autor: | Benhur Şirvan Çetin, Ekrem Unal, Hakki Dogan, Veysel Gok, Ali Kurtsoy, Hüseyin Per, Süreyya Burcu Görkem, Abdulfettah Tumturk, Ali Şahin, Hakan Gümüş, Elif Nurdan Ozmansur, Umit Arslan, Yakup Peduk, Ahmet Onder Guney |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Eye Diseases Physical examination Spasmus nutans Duane syndrome medicine Humans Child Physical Examination Torticollis Sandifer syndrome Retrospective Studies Neck pain Neck Pain medicine.diagnostic_test business.industry Brain Neoplasms Calcinosis Infant medicine.disease Ependymoma Child Preschool Acute disseminated encephalomyelitis Atypical teratoid rhabdoid tumor Surgery Female Spinal Diseases Neurology (clinical) medicine.symptom business |
| Zdroj: | Turkish neurosurgery. 31(3) |
| ISSN: | 1019-5149 |
| Popis: | Aim Torticollis can originate from a wide variety of different disorders. Objective We aimed to investigate the underlying conditions in children with torticollis. Material and methods Between May 2016 and December 2019, 24 patients (10 girls and 14 boys; mean age, 8 years) presenting with twisted neck, neck pain, weakness of extremities, imbalance, and gait disorder were evaluated retrospectively. Results Five of the patients had cranial pathologies (cerebellar anaplastic ependymoma and medulloblastoma, brain stem glioma, atypical teratoid rhabdoid tumor, and acute disseminated encephalomyelitis), and five of the patients had spinal pathologies (idiopathic intervertebral disc calcification, vertebral hemangiomatosis, compression fracture, multiple hereditary exostoses, and Langerhans cell histiocytosis at C4). Six of the patients had ocular pathologies (strabismus, Duane syndrome, and Brown syndrome each in two patients). Four patients had otorhinolaryngological infections (Sandifer syndrome, esophageal atresia, reflux, and spasmus nutans, with one patient each). Detailed clinical physical examination and necessary laboratory investigation were performed for all patients. Conclusion Torticollis is a sign that is not always innocent and may herald an underlying severe disease. Misdiagnosis can lead to wrong and unnecessary surgical procedures and treatments, and sometimes, the results can be damaging due to underlying severe conditions if diagnosed late. In addition, we first report a case of vertebral hemangiomatosis and temporomandibular joint ankylosis that presented with torticollis in the English medical literature. |
| Databáze: | OpenAIRE |
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