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
Hauptverfasser: Maigne, Jean-Yves, Mutschler, Céline, Doursounian, Levon
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container_title Spine (Philadelphia, Pa. 1976)
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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
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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. 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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. 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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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