Torticollis: The Daily PANCE Blueprint
Which of the following is not a known cause of torticollis?
A. Cervical spine trauma
B. Retropharyngeal abscess
C. Ligamentous laxity due to Down Syndrome
D. Chiari malformation
E. All of the above are known causes
Answer and topic summary
The answer is E. All of the above are known causes
Torticollis (“wryneck”) is defined by lateral twisting of the neck. It causes the head to tilt to one side and the chin to face the opposite direction. It can be congenital or acquired. Here is a list of causes: trauma, head/neck infections, inflammation, neoplasms, ligamentous laxity (due to Trisomy 21, osteogenesis imperfect, etc.), Chiari malformation, vascular abnormalities, etc. Especially in acquired torticollis, it’s important to rule out an infection in the neck area (e.g., retropharyngeal access, Leimmere syndrome, etc.). Treatment depends on the underlying cause.
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