Torticollis aka "wry neck"

1. Family Hx: spasmodic torticollis or cervical dystonia

1.1. initially spasmodic

1.2. Begins 31-50 y/o

1.3. May become permanent if untreated

2. Newborn/infants

2.1. congenital or childbirth

2.2. Congenital Muscular Torticollis (CMT)

2.2.1. most common cause

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

3. Signs:

3.1. Turned neck

3.1.1. may have pain

3.2. eye deviation

3.2.1. Oculogyric crisis

3.3. Protrusion of tongue

3.3.1. Buccolingual crisis

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

4. Broad category: flexion, extension, twisting

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

6. Treatment:

6.1. PT

6.2. Massage

6.3. Botox

6.4. Surgery