Acute torticollis in an adolescent: case report and MRI study
A case report is presented. To describe a typical case of acute adolescent torticollis in which a disc lesion was detected with magnetic resonance imaging. Acute torticollis is attributed to atlantoaxial rotary fixation of unknown etiology. The current view is that the lesion is caused by synovial f...
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Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2003-01, Vol.28 (1), p.E13-E15 |
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creator | Maigne, Jean-Yves Mutschler, Céline Doursounian, Levon |
description | A case report is presented.
To describe a typical case of acute adolescent torticollis in which a disc lesion was detected with magnetic resonance imaging.
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.
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.
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. |
doi_str_mv | 10.1097/00007632-200301010-00026 |
format | Article |
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To describe a typical case of acute adolescent torticollis in which a disc lesion was detected with magnetic resonance imaging.
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.
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.
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.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/00007632-200301010-00026</identifier><identifier>PMID: 12544967</identifier><language>eng</language><publisher>United States</publisher><subject>Acute Disease ; Adolescent ; Analgesics - therapeutic use ; Atlanto-Axial Joint - pathology ; Atlanto-Axial Joint - physiopathology ; Gadolinium ; Humans ; Magnetic Resonance Imaging ; Male ; Neck ; Parasympatholytics - therapeutic use ; Torsion Abnormality - physiopathology ; Torticollis - diagnosis ; Torticollis - drug therapy ; Torticollis - physiopathology ; Treatment Outcome</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2003-01, Vol.28 (1), p.E13-E15</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c171t-210273721f8dce6925b898bf186f6dd2e1afb4e31b78539951460dc1335576d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12544967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maigne, Jean-Yves</creatorcontrib><creatorcontrib>Mutschler, Céline</creatorcontrib><creatorcontrib>Doursounian, Levon</creatorcontrib><title>Acute torticollis in an adolescent: case report and MRI study</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A case report is presented.
To describe a typical case of acute adolescent torticollis in which a disc lesion was detected with magnetic resonance imaging.
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.
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.
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.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Analgesics - therapeutic use</subject><subject>Atlanto-Axial Joint - pathology</subject><subject>Atlanto-Axial Joint - physiopathology</subject><subject>Gadolinium</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Neck</subject><subject>Parasympatholytics - therapeutic use</subject><subject>Torsion Abnormality - physiopathology</subject><subject>Torticollis - diagnosis</subject><subject>Torticollis - drug therapy</subject><subject>Torticollis - physiopathology</subject><subject>Treatment Outcome</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LAzEQQIMotlb_guTkbTWTbCYbwUMpfhQqgug57CZZWNl2a5I99N8bbdWZgcDkzSQ8Qiiwa2Ba3bAcCgUvOGOCQc4idzgekSlIXhUAUh-TKROYkVLghJzF-JERFKBPyQS4LEuNakru5nZMnqYhpM4Ofd9F2m1oncsNvY_Wb9IttXX0NPhthvKVo8-vSxrT6Hbn5KSt--gvDueMvD_cvy2eitXL43IxXxUWFKSCA-NKKA5t5axHzWVT6appocIWneMe6rYpvYBGVVJoLaFE5iwIIaVCx8SMXO33bsPwOfqYzLrLf-v7euOHMRrFtULkmMFqD9owxBh8a7ahW9dhZ4CZb3XmV535U2d-1OXRy8MbY7P27n_w4Ep8AR1xZzI</recordid><startdate>20030101</startdate><enddate>20030101</enddate><creator>Maigne, Jean-Yves</creator><creator>Mutschler, Céline</creator><creator>Doursounian, Levon</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030101</creationdate><title>Acute torticollis in an adolescent: case report and MRI study</title><author>Maigne, Jean-Yves ; Mutschler, Céline ; Doursounian, Levon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c171t-210273721f8dce6925b898bf186f6dd2e1afb4e31b78539951460dc1335576d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Analgesics - therapeutic use</topic><topic>Atlanto-Axial Joint - pathology</topic><topic>Atlanto-Axial Joint - physiopathology</topic><topic>Gadolinium</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Neck</topic><topic>Parasympatholytics - therapeutic use</topic><topic>Torsion Abnormality - physiopathology</topic><topic>Torticollis - diagnosis</topic><topic>Torticollis - drug therapy</topic><topic>Torticollis - physiopathology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maigne, Jean-Yves</creatorcontrib><creatorcontrib>Mutschler, Céline</creatorcontrib><creatorcontrib>Doursounian, Levon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maigne, Jean-Yves</au><au>Mutschler, Céline</au><au>Doursounian, Levon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute torticollis in an adolescent: case report and MRI study</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2003-01-01</date><risdate>2003</risdate><volume>28</volume><issue>1</issue><spage>E13</spage><epage>E15</epage><pages>E13-E15</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><abstract>A case report is presented.
To describe a typical case of acute adolescent torticollis in which a disc lesion was detected with magnetic resonance imaging.
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.
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.
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.</abstract><cop>United States</cop><pmid>12544967</pmid><doi>10.1097/00007632-200301010-00026</doi></addata></record> |
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subjects | Acute Disease Adolescent Analgesics - therapeutic use Atlanto-Axial Joint - pathology Atlanto-Axial Joint - physiopathology Gadolinium Humans Magnetic Resonance Imaging Male Neck Parasympatholytics - therapeutic use Torsion Abnormality - physiopathology Torticollis - diagnosis Torticollis - drug therapy Torticollis - physiopathology Treatment Outcome |
title | Acute torticollis in an adolescent: case report and MRI study |
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