Torticollis aka "wry neck"

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Torticollis aka "wry neck" by Mind Map: Torticollis aka "wry neck"

1. Broad category: flexion, extension, twisting

2. Trauma, meds, or slowly due to family hx

3. Family Hx: spasmodic torticollis or cervical dystonia

3.1. initially spasmodic

3.2. Begins 31-50 y/o

3.3. May become permanent if untreated

4. Newborn/infants

4.1. congenital or childbirth

4.2. Congenital Muscular Torticollis (CMT)

4.2.1. most common cause

4.2.2. postural deformity presenting @ birth that results from shortening of scarring (fibrosis) of the SCM muscle on one side

5. Signs:

5.1. Turned neck

5.1.1. may have pain

5.2. eye deviation

5.2.1. Oculogyric crisis

5.3. Protrusion of tongue

5.3.1. Buccolingual crisis

5.4. Spasmodic sustained (tonic) or jerky (clonic)

6. Treatment:

6.1. PT

6.2. Massage

6.3. Botox

6.4. Surgery