Torticollis

Agha, Beesan Shalabi; Tehan, Chelsea; Perno, Joseph R.

doi:10.1097/pec.0b013e3182045c2b

Cited by 5 publications

(2 citation statements)

References 5 publications

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“…6 Spinal epidural hemorrhage secondary to severe hemophilia can present with torticollis. 10 The outcomes are variable, but spontaneous improvement is reported in almost half of the cases. 2–10…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

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Cervical Dystonia Mimics: A Case Series and Review of the Literature

Raju¹,

Ravi

Prashanth³

2019

Tremor and Other Hyperkinetic Movements

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BackgroundCervical dystonia is mostly idiopathic in nature. However, a small subset of cases are mimics, leading to diagnostic pitfalls. There is paucity of literature on pseudodystonias affecting the cervical region.MethodWe performed a retrospective review of patients attending a movement disorders clinic over a period of 7 years (2012–2018). Among them, those who were considered to have mimics of cervical dystonia based upon clinical and supportive investigations were included.ResultsSix out of 2,412 patients (0.24%) were diagnosed as cervical dystonia mimics and the causes included isolated neck extensor myopathy (2), craniovertebral junction anomalies (2), sternocleidomastoid fibrosis (1) and post traumatic sequelae (1). Among these patients, three patients had received various treatments for cervical dystonia, including botulinum toxin injections.DiscussionMimics of isolated cervical dystonia are rare. A high degree of suspicion and proper diligent clinical assessment assists management and prognostication.

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…10 The outcomes are variable, but spontaneous improvement is reported in almost half of the cases. 2–10…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Cervical Dystonia Mimics: A Case Series and Review of the Literature

Raju¹,

Ravi

Prashanth³

2019

Tremor and Other Hyperkinetic Movements

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Conservative management of an acute spinal epidural hemorrhage in a child with hemophilia a with inhibitor

Erkutlu

Bay²,

Aktekin³

2016

Blood Coagulation &Amp; Fibrinolysis

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Hemophilia A is an inherited, X-linked, recessive disorder caused by deficiency of clotting factor VIII. Central nervous system hemorrhage is an uncommon complication in patients with hemophilia. We report the case of a 5-year-old child who had intraspinal hematoma with nonsurgical, conservative management. It should be kept in mind that the optimal management is decided according to patient's condition because of high morbidity and mortality.

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Spinal epidural hematoma without significant trauma in children: two case reports and review of the literature

et al. 2020

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Background: Spinal epidural hematoma without significant trauma is a rare condition with potentially severe outcome. This case report and systematic review of the literature illustrates the clinical presentation, risk factors, evaluation, treatment and outcomes of spinal epidural hematoma without significant trauma in children. Case presentation: We report one case of a 7-year-old girl who developed a neck pain after minor cervical sprain. MRI showed a right posterior epidural hematoma extending from C2/3 to T1. The hematoma was surgically evacuated, and the histopathology showed an arteriovenous malformation. Postoperative MRI showed complete evacuation of the hematoma and no residual vascular malformation. We report a second ASE with idiopathic spinal epidural hematoma of a 4½-year-old boy presenting with neck pain. MRI showed a right-sided latero-posterior subacute spinal epidural hematoma at C3-C5. Owing to the absence of any neurological deficit, the patient was treated conservatively. MRI at 3 months showed complete resolution of the hematoma. Conclusions: Spinal epidural hematoma without significant trauma in children is a rare condition. It may present with unspecific symptoms. Screening for bleeding diathesis is warranted and neuroradiologic follow-up is essential to rule out vascular malformation. Whereas most children have a favorable outcome, some do not recover, and neurological follow-up is required.

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Torticollis

Cited by 5 publications

References 5 publications

Cervical Dystonia Mimics: A Case Series and Review of the Literature

Cervical Dystonia Mimics: A Case Series and Review of the Literature

Conservative management of an acute spinal epidural hemorrhage in a child with hemophilia a with inhibitor

Spinal epidural hematoma without significant trauma in children: two case reports and review of the literature

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