Document Detail


Acute torticollis in an adolescent: case report and MRI study.
MedLine Citation:
PMID:  12544967     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jean-Yves Maigne; Céline Mutschler; Levon Doursounian
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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    
Affiliation:
Department of Physical Medicine, Hôtel-Dieu University Hospital, Place du Parvis de Notre-Dame, F-75004 Paris, France. jy.maigne@htd.ap-hop-paris.fr.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Analgesics / therapeutic use
Atlanto-Axial Joint / pathology,  physiopathology
Gadolinium / diagnostic use
Humans
Magnetic Resonance Imaging*
Male
Neck
Parasympatholytics / therapeutic use
Torsion Abnormality / physiopathology
Torticollis / diagnosis*,  drug therapy,  physiopathology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Analgesics; 0/Parasympatholytics; 7440-54-2/Gadolinium

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


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