Document Detail

Acute torticollis in an adolescent: case report and MRI study.
MedLine Citation:
PMID:  12544967     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: A case report is presented. OBJECTIVES: To describe a typical case of acute adolescent torticollis in which a disc lesion was detected with magnetic resonance imaging. SUMMARY OF BACKGROUND DATA: Acute torticollis is attributed to atlantoaxial rotary fixation of unknown etiology. The current view is that the lesion is caused by synovial fold entrapment in the C1-C2 interspace. METHODS: In a 15-year-old male adolescent, magnetic resonance imaging was performed a few hours after the onset of torticollis, and 3 weeks after resolution of symptoms.RESULTS Increased signal intensity compatible with a fluid collection was seen in the right uncovertebral region at C2-C3. This lesion was probably linked to a sudden disruption of the disc collagen fibers, and had caused excessive lateral pressure, pushing C2 toward the left. Magnetic resonance imaging at 3 weeks was unremarkable. CONCLUSIONS: The authors think that the observed disruption was a sudden and abnormal instance of a normal and, usually, very slow process of cleft formation with extension into the fibrocartilaginous core in the uncovertebral region. It is felt that this lesion may be a frequent cause of torticollis in adolescents.
Jean-Yves Maigne; Céline Mutschler; Levon Doursounian
Related Documents :
23055397 - Novel technique for mr elastography of the prostate using a modified standard endorecta...
17986157 - Incidental diagnosis of intradural lumbar disc herniation during discography: a case re...
23262657 - Clinical implications of immediate or later periportal edema in ms-ct trauma scans: sur...
23839437 - 170 myelination and diffusion tensor imaging findings in mild traumatic brain injury.
12961047 - Routine magnetic resonance imaging of the spine in children with gaucher disease: does ...
3015477 - Computed tomography and ultrasonography of hepatoma.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  28     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-24     Completed Date:  2003-02-05     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E13-5     Citation Subset:  IM    
Department of Physical Medicine, Hôtel-Dieu University Hospital, Place du Parvis de Notre-Dame, F-75004 Paris, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Acute Disease
Analgesics / therapeutic use
Atlanto-Axial Joint / pathology,  physiopathology
Gadolinium / diagnostic use
Magnetic Resonance Imaging*
Parasympatholytics / therapeutic use
Torsion Abnormality / physiopathology
Torticollis / diagnosis*,  drug therapy,  physiopathology
Treatment Outcome
Reg. No./Substance:
0/Analgesics; 0/Parasympatholytics; 7440-54-2/Gadolinium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Localized venous plexi in the spine simulating prolapse of an intervertebral disc: a report of six c...
Next Document:  Hyperkyphosis as an indicator of syringomyelia in idiopathic scoliosis: a case report.