Congenital Torticollis in a Child With Cervical Spine Deformity: A Case Report and Literature Review

Obajeun, Omobolanle A; Abaza, Abdelrahman; Jaramillo, Arturo P; Sid Idris, Faten; Anis Shaikh, Humna; Vahora, Ilma; Moparthi, Kiran Prasad; Al Rushaidi, Majdah T; Muddam, MeghanaReddy; Hamid, Pousette

doi:10.7759/cureus.46098

Cited by 2 publications

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References 32 publications

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“…Torticollis is a common pediatric condition, with an incidence of 0.3-2.0% [1,2] in healthy newborns [3], in which fibrosis and unilateral shortening of the sternocleidomastoid muscle (SCM) occurs leading to an asymmetric position of the head and neck [4,5]. It belongs to the category of non-paroxysmal cervical dystonia types [6].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing the Duration of Rehabilitation in Infants with Torticollis—A Pilot Study

Parau,

Todoran,

Balasa

2024

Medicina

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Background and Objectives: Torticollis is a common pediatric condition, with an incidence of 0.3–2.0%. Studies show that an adequate, tailored, and early treatment helps 90% to 95% of children recover before the first year of life and 97% of patients recover if treatment starts before the first six months. To identify the relationships between variables considered essential in the recovery process of infants with torticollis, we included factors such as the type of torticollis, age at onset of treatment, gender, birth weight, mode of delivery, fetal position in the uterus, the presence of craniofacial deformities, regions affected by postural asymmetries, and duration of the rehabilitation program. The hypothesis of the study is that early initiation of therapy can contribute to achieving favorable outcomes in the recovery process. Material and Methods: This retrospective cohort pilot study was conducted within a rehabilitation facility, spanning a duration of 1 year. The study involved a population of 41 children aged between 0 and 6 months. The rehabilitation program consisted of the application of Vojta therapy. Each session lasted 20 min, with a frequency of three times per week. Results: A total of 41% of those who started therapy in the first 3 months of life were fully recovered after 4–6 weeks of therapy. Of infants who started therapy at 5 and 6 months of age, 15% showed no improvement in measurements from 14 to 16 weeks of age, at which point the use of a cranial orthosis was recommended, and 23% experienced a plateau in measurements from 10 to 14 weeks, requiring the use of a cervical collar in conjunction with therapy. Conclusions: The findings from the study suggest that there may be a correlation between early initiation of therapy and favorable outcomes in the recovery process. The primary factors influencing the duration of recovery were identified as the presence of body asymmetries and the age at which therapy was initiated.

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Section: Introductionmentioning

confidence: 99%

Factors Influencing the Duration of Rehabilitation in Infants with Torticollis—A Pilot Study

Parau,

Todoran,

Balasa

2024

Medicina

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Accessory Head of Sternocleidomastoid Muscle in Indian Cadavers: A Report of Three Cases

Sakthivel,

Dhakshnamoorthy,

2024

Cureus

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During dissection sessions for undergraduate students, the unilateral accessory clavicular head of the sternocleidomastoid muscle was observed in three cadavers. These accessory heads extended from the middle third of the clavicle and joined the sternocleidomastoid muscle in the middle third. The variations in the sternocleidomastoid muscle may be attributed to abnormal mesodermal splitting or fusion failure during the development of the post-sixth branchial arch. Anomalies of the sternocleidomastoid may be misdiagnosed as cervical dystonia, fibromatosis colli, or muscular spasm. In rare cases, an accessory head could result in torticollis in adults. These anomalies warrant particular attention during interventional procedures conducted by anesthesiologists. The internal jugular vein is accessed at the lesser supraclavicular fossa for cannulation during central venous access and temporary hemodialysis. Variations in its anatomy can pose challenges during these procedures. Moreover, the clavicular head may be utilized for muscle flaps in the upper neck and occipital regions.

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Congenital Torticollis in a Child With Cervical Spine Deformity: A Case Report and Literature Review

Cited by 2 publications

References 32 publications

Factors Influencing the Duration of Rehabilitation in Infants with Torticollis—A Pilot Study

Factors Influencing the Duration of Rehabilitation in Infants with Torticollis—A Pilot Study

Accessory Head of Sternocleidomastoid Muscle in Indian Cadavers: A Report of Three Cases

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