1. Torticollis Describes different causes of this condition. Presents its various evaluation techniques such as physical examination and history. torticollis. torticollis is defined as a condition where the head is tilted toward one side and the chin is pointing in http://pedclerk.bsd.uchicago.edu/torticollis.html

Back to table of contents Torticollis Torticollis is defined as a condition where the head is tilted toward one side and the chin is pointing in the opposite direction. Etiology Congenital muscular torticollis approximately 1% incidence Often associated with a difficult delivery or breech presentation Often not noted until 2-8 weeks of age May feel a firm mass within the SCM muscle which is fibrous tissue that causes shortening of the muscle and resulting tilt Most of the time it resolves spontaneously, and may treat with passive stretching and heat. If associated with facial and cranial asymmetry after one year of age, surgical intervention may be necessary. Congenital positional torticollis Usually present at birth and thought to be secondary to intrauterine positioning. Resolves spontaneously. Trauma- usually painful and limitation of motion muscle injury Fracture of vertebrae or clavicle of atlantoaxial joint Posterior fossa tumors Hysteria Cervical adenitis, retropharyngeal abscess, or any cervical mass Ocular abnormalities like strabismus, muscle weakness, and nystagmus

2. Torticollis.org - National Spasmodic Torticollis Association Californian nonprofit organization, providing support, referrals and information for patients and Category Health Conditions and Diseases torticollis...... http://www.torticollis.org/

3. TORTICOLLIS CAUSED BY INTERVERTEBRAL DISC CALCIFICATION Congenital torticollis usually is not encountered in the ED, but it is worthy of mention because of its presentation. http://gait.aidi.udel.edu/res695/homepage/pd_ortho/educate/clincase/tort.htm

TORTICOLLIS CAUSED BY INTERVERTEBRAL DISC CALCIFICATION TOBENNA OKEZIE, M.D., Orthopaedic Surgery Resident S. JAY KUMAR M.D., Attending Pediatric Orthopaedic Surgeon February 21, 1996 CLINICAL CASE PRESENTATION ORTHOPAEDIC DEPARTMENT THE ALFRED I. DUPONT INSTITUTE WILMINGTON, DELAWARE CASE HISTORY Patient is a 4 year old male who developed the insidious onset of neck pain and stiffness 4 days prior to admission. Over the intervening period, the patient suffered from worsening of his symptoms which led to increasing irritability and difficulty sleeping. On the day of admission, he was seen by a local pediatrician for severe neck pain. It was observed that his head was in a fixed position just slightly right of midline. The patient's past medical history was remarkable for two recent self-limited episodes of hives and urticaria on his trunk and extremities that was treated with prednisone. There was vague history of remote trauma about one month previously when the patient had been "horsing" around with his brother. The child had no evidence of a viral prodrome, constitutional symptoms or travel history. He was sent to a local hospital where radiographs of the cervical spine demonstrated calcifications in the C3-4 and C5-6 intervertebral disc spaces . Neurological exam was normal. The child's pain was refractory to morphine treatment and he was transferred to A.I. for the management of his intractable pain. On arrival, his physical exam was unchanged. Blood work revealed a WBC count of 12.7K with 75% PMNs and an ESR of 80. Radiographs of spine showed the presence of an addition calcification in his thoracic spine

4. Torticollis Offers definition, diagnosis, theory and statistics.Category Health Conditions and Diseases torticollis...... torticollis. torticollis is also known toward the opposite shoulder.Congenital muscular torticollis is by far the most common form. http://www.drhull.com/EncyMaster/T/torticollis.html

Help for sleepless parents Encyclopedia Index T torticollis Search torticollis Torticollis is also It is a deformity of the neck in which the head tilts toward one shoulder and is simultanously the chin rotates toward the opposite shoulder. Congenital muscular torticollis is by far the most common form. It is associated with a mass in the sternocleidomastoid muscle (the strap that courses from beneath the angle of the jaw to the base of the neck above the medial It is usually diagnosed in the first couple of months of life. If it is picked up in the first few weeks, there may be a soft lump the size of an olive The theory is that during vaginal delivery, blood flow to the affect neck muscle is reduced, causing damage. This theory sounds pretty good for most cases, but there are familial cases and cases where the baby was born by C-section. Go figure. developmental dysplasia of the hip, so careful evaluation (to include a hip ultrasound) is imperative. Neck xrays are probably advisable for babies with torticollis as well, to rule out abnormalities of the neck vertebrae which can masquerade as simple muscular torticollis.

5. Torticollis torticollis What is torticollis? torticollis (wry neck) is a congenital or acquired condition of limited neck motion in which the child will hold the head to one side with the chin pointing to the opposite side. It is the result of the shortening of http://www.pedisurg.com/PtEduc/Torticollis.htm

TORTICOLLIS What is torticollis? Torticollis (wry neck) is a congenital or acquired condition of limited neck motion in which the child will hold the head to one side with the chin pointing to the opposite side. It is the result of the shortening of the sternocleidomastoid (neck) muscle. In early infancy, a firm, non-tender mass may be felt in the midportion of the muscle. The mass will go away and be replaced with fibrous tissue. If untreated, there can be permanent limitation of neck movement. There may be flattening of the head and face on the affected side. How is torticollis treated? Treatment consists of gentle stretching exercises (see below). The face is turned away from the affected muscle while the head is tilted in the opposite direction with the neck extended. This position is held for a count of 5 and repeated 10 times twice daily. The baby can be placed in the crib or playpen in a way that encourages turning the head away from the deformity in order to observe activities and interesting or favorite toys. When placed in a car seat, padding may be placed on the affected side forcing the head to turn in the opposite direction. Long term follow up is important to assess for abnormal head shape . Follow up may be necessary in six months with pediatric surgery to assess for the necessity for head molding. Please do not hesitate to call the office if you have any questions. Where can a parent get help and talk with other parents about torticollis?

6. Herbs For Spasmodic Torticollis Personal success story with dystonia and spasmodic torticollis using herbs, essential oils, and enzymes. Information and health program for spasmodic torticollis and a general health program. http://www.herbs4st.com

This site is my personal experience with the dystonia, spasmodic torticollis, ST. Read my spasmodic torticollis success story using alternative health methods of herbs, herbal remedies, essential oils, enzymes, homeopathic, aromatherapy, nutrition, diet, vitamins, minerals, and massage. Learn about dystonia, herbs, essential oils, enzymes, general health, spasmodic torticollis, ST, alternative health program for torticollis, supplements for ST, and nutritional surveys. HERBS FOR SPASMODIC TORTICOLLIS Dystonia Herbs Gain the knowledge to improve and take care of your own health. I am a NSP Herb Specialist and Certified Natural Health Professional. Success Story Essential Oils Enzymes I have spasmodic torticollis which is a form of dystonia. Read my success story. Nutrient Survey General Health Send me your comments or questions Where To Start Resources Spasmodic Torticollis It comes from a variety of sources and from my own experiences. If a person decides to use this information, he/she does it willingly

7. Our Torticollis Experience Treatment options and information on tests that are available to assess a child. Also describes the parents personal experience with their son. http://home.earthlink.net/~thomsoc/

Our Torticollis Experience DoctorsVisits /Lucas'_Pictures Definitions /Link ... Homepage We want to share our experiences on the types of tests and treatment options that are available for Torticollis to help other parents understand more about Torticollis. We learned about these tests/procedures over a period of many frustrating months and the learning doesn't stop . Our son was diagnosed with Torticollis at five months of age and we were heart-broken to think our son would possibly need surgery to correct the problem. Turns out that our son is doing well now and won't need surgery to correct the problem. It took approximately five months of physical therapy before we saw noticeable, sustained improvement in our son , however PT wasn't enough, we found Osteopathy to be extremely effective He is doing extremely well. H e will be 3 years of age in November, 2001 This handsome picture was taken on May 5th, 2001. He was the life of the party. Click on the following link to visit a community support site, put up by a Torticollis parent. Answers and support from many parents going through the same situation as yourself is available at: http://www.onelist.com/community/torticolliskids

8. Bundesverband Torticollis E.V. Kurze Beschreibung des Vereins und der Erkrankung. http://members.aol.com/BVTorti/Torticollis.html

Bundesverband Torticollis e.V. Torticollis spasmodicus Zeitschrift "Torticollis Echo" Im Dezember 2001 hat unser Verband einen Sammelband des Torticollis Echo, den "Torticollis/Schiefhals-Dystonie-Ratgeber" Faltblatt "Wir helfen" sowie unser Plakat "Torticollis" anfordern. Bundesverband Torticollis e.V. • Eckernkamp 39 • 59077 Hamm Tel. 23 89 / 53 69 88 • Fax 23 89 / 53 62 89 email : BVTorti@aol.com

9. Torticollis, Keep Hoping!! Torticollis, Er Is Hoop!! Persoonlijk verslag over het zoeken naar een geneesmiddel, wat torticollis spasmodica is en hoe ermee om te gaan. http://www.torticollis.nl/

T O R T ... Burnout en torticollis Scroll verder E n g l ... Burnout and torticollis Welkom op mijn homepage over T orticollis Spasmodica (T.S.) Zie ook mijn vernieuwde GASTENBOEK. Scroll verder naar beneden !! Hallo, (nogmaals) welkom op mijn homepage Deze homepage gaat over de wijze waarop ik omga met torticollis spasmodica , een aandoening die in februari 2000 bij mij is vastgesteld. Ze is is als volgt opgebouwd: Waarom deze homepage, Wat is torticollis spasmodica eigenlijk, Verloop en beleving van torticollis, Op zoek naar een aanpak, Inspiratiebron uit Amerika, Hoe probeer ik mezelf te genezen, Feldenkrais therapie. Overige informatie. Waarom deze homepage Wat is torticollis spasmodica eigenlijk Torticollis spasmodica is een vorm van dystonie hetgeen letterlijk verkeerde spierspanning betekent. Tot voor pakweg 10 jaar dacht men dat deze aandoening louter psychisch was; tegenwoordig neigt men meer naar een neurologische verklaring. Inmiddels heb ik zelf het idee dat er nog meer verklaringen zijn: fysiologisch - waaronder burnout- , mechanisch, en hooggevoeligheid. Zie ook

10. EMedicine - Torticollis : Article By Michael Ross, MD Article about torticollis by Michael Ross, MD and Susan Dufel, MD, FACEP.Category Health Conditions and Diseases torticollis......torticollis torticollis (from the Latin torti, meaning twisted and collis, meaningneck) refers to presentation of the neck in a twisted or bent position. http://www.emedicine.com/emerg/topic597.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Neurology Torticollis Last Updated: October 9, 2001 Rate this Article Email to a Colleague Synonyms and related keywords: idiopathic spasmodic torticollis, IST AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Michael Ross, MD , Staff Physician and Associate Director of EMS, Department of Emergency Medicine, Metrowest Medical Center Coauthor(s): Susan Dufel, MD, FACEP , Program Director, Associate Professor, Department of Traumatology and Emergency Medicine, Division of Emergency Medicine, University of Connecticut School of Medicine Michael Ross, MD, is a member of the following medical societies: American College of Emergency Physicians Editor(s): Jeffrey Glenn Bowman, MD, MS , Consulting Staff, Department of Emergency Medicine, Mercy Springfield Hospital; Francisco Talavera, PharmD, PhD

11. Orthoseek | Orthopedic Topics | Congenital Muscular Torticollis Details of the condition with pictures of stretches.Category Health Conditions and Diseases torticollis......What is congenital muscular torticollis? The layman’s term for this conditionis wryneck. What causes congenital muscular torticollis? http://www.orthoseek.com/articles/congenmt.html

Congenital Muscular Torticollis What is congenital muscular torticollis? Congenital muscular torticollis or Sternomastoid torticollis is a condition that occurs at birth or up to 2 months of age, where the child’s head is tilted to one side. The layman’s term for this condition is wry-neck. What causes congenital muscular torticollis? It is traditionally thought to be due to trauma at birth, that causes bleeding in the muscles of the neck, usually the Sternomastoid muscle. The hematoma (blood clot) within the muscle scars down over time, causing the muscle to shorten, thus pulling the head to the typical tilted position. Sometimes, there is an associated mass that can be seen or felt within the Sternomastoid muscle, and usually thought to be a hematoma that is in the process of forming scar tissue. This mass usually disappears by 3 months of age. More recently, it has been postulated that the sternomastoid muscle shortens as a result of scarring due to an intrauterine vascular disturbance. Still others think that it is due to intrauterine position of the head causing fibrosis or shortening of the muscle. What are the symptoms?

12. Torticollis, Caput Opistum - Ursachen, Krankheiten Und Schmerztherapie Bei Torti Natural, nonmedical, risk free recovery clinic, since 1986. THE SPASMODIC torticollis RECOVERY CLINIC, INC. A Natural, Risk-free, Non-medical Option http://www.schmerzklinik.com/torticollis

Informationen über Krankheit und Schmerzbehandlung Themen Torticollis Caput obstipum (Zu weiteren Schmerzthemen gelangen Sie am Ende dieser Seite) Ein Service der Schmerzklinik Bad Mergentheim (SCHMERZTHERAPIEZENTRUM BAD MERGENTHEIM) Schönbornstr.10 - 97980 Bad Mergentheim - Tel. 07931/54930 - Fax: /549350 - Schmerzpraxis Schmerzambulanz - Tel.: O7931/549351 E-Mail: schmerzklinik@schmerzklinik.com Die verschiedenen Formen Torticollis spasticus (spastischer Schief hals Synonyme (= weiter Bezeichnungen) : Torticollis spasmodicus, Caput obstipum (hyperkinetische Bewegungsstörung). Angeborene oder erworbene, evtl. von Gesichts- und Schädelasymmetrie (Gesichtsskoliose) begleitete Schräghaltung des Kopfes. Der angeborene Torticollis kommt skelettbedingt (z.B. Klippel-Feil Syndrom) oder als muskulärer Torticollis vor. Meist infolge einseitiger, angeborener Fehlbildung (Verkürzung) des M. sternocleidomastoideus (= schräg verlaufender Halsmuskel) , oft auch nach geburtstraumatischem (= Verletzung bei der Geburt) Muskelriß und hämatombedingt (= bedingt durch einen Bluterguß).

13. SpasmodicTorticollis.org Information about spasmodic torticollis and dystonia. http://spasmodictorticollis.org

FREE! FREE! FREE! With your new membership you will receive FREE all of the following: Our latest 24-page quarterly newsmagazine. A 30-page booklet describing the main oral medications prescribed for ST'rs - also, ones you should not use. An Emergency Medical Card small enough to fit in your purse or wallet, but, when unfolded you can fill in your entire medical history. Welcome to Spasmodic Torticollis.org Our shortened name is ST/DYSTONIA, Inc. and we're an association truly dedicated to helping people with Spasmodic Torticollis. Peter Drucker, a noted authority on non-profits, states, " . . . the goal of a non-profit association should be a changed human being . . ." and, I might add, a changed, and improved, human being. We recognize Spasmodic Torticollis can be an insidious disorder and that it can affect our daily lives. Our personalities may change; our life style, especially in the beginning, may change; we can become depressed. Many medical people can't diagnose, nor understand it But there's no need for DESPAIR as there is lots of HOPE and HELP for you. Yes, just by reaching us on this web site is a FIRST, an important FIRST one that can lead you back to a more productive life, much as the person in the picture shown on this page. Will you be as productive as you once were? Nobody knows as a lot depends on you! We do know however, that many, many people with Spasmodic Torticollis have become productive once again and are living normal lives.

14. The Family Village - Spasmodic Torticollis Sections include contact information, message board and web site links. http://www.familyvillage.wisc.edu/lib_spa-tort.html

Spasmodic Torticollis Who to Contact Where to Go to Chat with Others Learn More About It Web Sites ... Search AltaVista for "Spasmodic Torticollis" Who to Contact National Spasmodic Torticollis Association 9920 Talbert Ave #233 Fountain Valley, CA, 92708 1-800-HURTFUL (487-8385) E-mail: nstamail@aol.com Web: http://www.torticollis.org/ Where to Go to Chat with Others Spasmodic Torticollis Bulletin Board Learn More About It What is Spasmodic Torticollis? Web Sites National Spasmodic Torticollis Association SpasmodicTorticollis.org Spasmodic Torticollis - United Kingdom Back to [ S - T Family Village Home Library Coffee Shop ... Information by familyvillage@waisman.wisc.edu Document Source: http://www.familyvillage.wisc.edu/lib_spa-tort.html

15. National Infant Torticollis Association Describes different causes of torticollis in infants. Also provides definitions of medical terms and Category Health Conditions and Diseases torticollis......Provides information on infant torticollis causes, diagnosis, and treatment.Also children. National Infant torticollis Association (NITA). http://www.infant-torticollis.org/

Sign Our Guestbook View Our Guestbook Meet our children and... Read their stories share their experience learn more about torticollis Do you have a photo or story to share with us? If so, please send us an email . By gathering stories and photos and sharing them on our website, our visitors can see what others are going through and know that they are not alone. We respect the privacy of the families and children who appear on our website and will not share any information without your permission. Thank-you! © 2002-2003 by NITA. NITA is a 501(c)3 charitable organization. This page was last updated : March 23, 2003 The information on this website is not intended to take the place of medical advice. Graphics on this site were donated by Early Girl Design. Funding for this website has been provided by the Everett Family. No funding is received for any advertisements that may appear on this website. For technical problems with this website contact : webmaster@infant-torticollis.org

16. Soft Tissue - Congenital Muscular Torticollis | Warren Hammer, MS, DC, DABCO A review of medical literature by Warren Hammer, MS, DC, DABCO. http://www.chiroweb.com/archives/12/26/21.html

Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Warren Hammer, MS, DC, DABCO Soft Tissue Congenital Muscular Torticollis Congenital muscular torticollis (CMT) refers to a shortening of the sternocleidomastoid (SCM) muscle in an infant. It is a condition that responds very well to a stretching program and spinal adjustments. The most common causes are considered to be due to intrauterine malposition and/or birth trauma since CMT is more frequent after breech presentations1 and congenital hip dysplasias.2 In rare instances bony anomalies of the cervical spine such as Klippel-Feil syndrome3 or ocular imbalance might be causative. Other possibilities are spontaneous subluxation of a cervical vertebra, cervical adenitis secondary to upper respiratory tract infection, unilateral soft tissue infection, neck tumors, myositis or disease of the basal ganglia.3 Turek3 feels that every case of torticollis deserves roentgenographic study before treatment is instituted. Often a fibrous mass may be palpated in the SCM. The mass, which may the result of venous occlusion during the birth trauma, usually appears within three weeks after delivery and attains maximum size by one month.4 The infant will show the typical head position of head tilt toward the side of shortening and contralateral neck rotation. The face and even the skull may appear asymmetrical. While spontaneous recovery may occur, if left untreated, the cervical fascia and scaleni muscle may contract and a cervical and thoracic scoliosis may develop.3,5 Infants treated before one year of age had better results.6

17. Donders' Law In Torticollis Abstract of an article that appeared in the Journal of Neurophysiology, Nijmegen Institute for Cognition Category Health Conditions and Diseases torticollis......NICI Publications 1999 Donders' law in torticollis. Medendorp, WP, Van Gisbergen,JAM, Horstink, MWIM, Gielen, CCAM (1999). Donders' law in torticollis. http://www.nici.kun.nl/Publications/1999/13474.html

NICI Publications Information News ... E-mail Reference Medendorp, W.P., Van Gisbergen, J.A.M. Horstink, M.W.I.M. Gielen, C.C.A.M. Journal of Neurophysiology, 82 Abstract About this site... This page was rendered at 20-03-2003; 07:07:19.

18. Acute Torticollis -- A New Approach To Treatment | Shahriar Karimi, DC Article written by Shahriar Karimi, DC. http://www.chiroweb.com/archives/10/02/22.html

Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Acute Torticollis a New Approach to Treatment Abstract A case history of a 23-year-old male with a traumatic acute spasmodic torticollis is presented. The symptoms diminished very quickly with chiropractic care with an emphasis on physical therapy and cervical spine adjustments. Introduction Torticollis is caused by spasm of the neck muscles which causes rotation and tilting of the head.1 The spasm can be quite severe, not allowing the patient to move his head to a normal posture. But in the doctors office, the spasm can be helped by physical therapy modalities.2 We have found that by coupling interferential muscle stimulation with cryotherapy and range of motion exercises, followed by spinal manipulation, patients will enjoy normal motion very quickly. With continued care, the patient can resume normal activities more rapidly than without the above care. Case history A 23-year-old Caucasian male presented at our office seven days post-injury with his chin approximating his right shoulder. He had severe pain worsened with any cervical spine motion and was unable to raise his head to a neutral position. He was the driver of a vehicle which was broadsided on the left side of his car by another vehicle. He was treated by paramedics at the scene and taken home by a friend. His symptoms worsened to the point where he presented for treatment.

19. Torticollis And Head Shape In Infants Slide presentation in Microsoft PowerPoint by Douglas E. Moses, MD. http://www.neoucom.edu/DEPTS/Peds/FacLectures/torticollis_files/frame.htm

20. ISOLATED CERVICAL OSTEOCHONDROMA MANIFESTING AS SPASMODIC TORTICOLLIS, A CASE RE A case report abstract from the University of Medical Sciences, Tehran, Iran. http://www.sums.ac.ir/IJMS/0012/rezaii0012.html

Return to contents page ISOLATED CERVICAL OSTEOCHONDROMA MANIFESTING AS SPASMODIC TORTICOLLIS: A CASE REPORT A.R. Sheikhrezaii,* S. Shariat,** H. Saberi* Departments of *Neurosurgery, and **Pathology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran ABSTRACT Key Words Introduction Spasmodic torticollis is one of the common causes of postural abnormalities of head and neck in the third to fifth decades of life. It is generally a late onset focal dystonia most commonly attributed to striatal and vestibular dysfunction. Although the pathogenesis is uncertain, a variety of medical disorders such as encephalitis, multiple sclerosis. are to be suspected. Establishing the exact etiology of torticollis may enable the physician to treat abnormal movements accordingly. Occasionally isolated upper cervical tumor, traumatic, infectious and degenerative lesions can produce postures mimicking spasmodic torticollis. Altered head posture secondary to upper cervical spine tumors is an uncommon differential diagnosis of spasmodic torticollis. Osteochondroma, a rare tumor of the cervical spine, is usually painless, but may occasionally enlarge and produce neurological symptoms in adjacent nervous system mostly in the form of myelopathy or radiculopathy due to nerve root impingement.

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