No abstract available.
Torticollis*

No abstract available.
Torticollis*

No abstract available in English.
Torticollis

Background: Congenital muscular torticollis is a disease with influences on cosmesis and function of the face. Objectives: (1) Remarks syndrom of congenital muscular torticollis; and (2) Evaluate Ferkel\u2019s technique to treatment torticollis in children. Subjects and method: During 10 years period (from January 1996 to December 2005), there were 68 patients with congenital muscular torticollis (39 female and 29 male); Age from 02 to 14 years old. The patients were operated by Ferkel\u2019s technique. Results: All patients have a palpable contrature of the sternocleidomastoid muscle, elevating shoulders, limitation of neck mouvements more than 30 degree. Our results: Excellent in 06,6%; Good in 52,4%; Fair in 37,7% and Poor in 3,3%. Conclusion: Limitation of neck mouvements, facial asymmetry and persistence of an intramuscular tumor are the principal clinical signs. Age of surgical indication is older than 1 year old. Those patients were operated by Ferkel\u2019s technique with functionally and cosmetically good result.
Torticollis/ surgery ; Child ;

Torticollis is an usual symptom that can be the result of various disorders, such as sternocleidomastoid muscle pathology, bony abnormalities of the cervical spine, disorders of the central or peripheral nervous system, various ocular diseases, and brain tumors, especially in children. A 12-month-old male visited our hospital because of torticollis. He was normal on systemic examination, with no neurological abnormality, and his cervical spine CT was also normal. About 4 weeks later, he revisited the emergency department due to vomiting with altered mental status, and was diagnosed with a cerebellar tumor with hemorrhage. Although torticollis is known to be an important sign of a posterior fossa tumor, associated neurological or ocular symptoms are usually present. We report here a patient with posterior fossa tumor where torticollis was the only initial presenting symptom.
Nervous System Diseases ; Torticollis

Congenital torticollis, or wryneck, is caused by fibromatosis within the sternocleidomastoid muscle. It may invlove the muscle diffusely, but more often it is localized near the clavicular attachment of the muscle. An osteochondroma is a benign lesion that is often considered to be the most common type of bone tumor and this lesion rarely occurs in the clavicle. We report a case who had congenital muscular torticollis with solitary osteochondroma on the clavicular attachment site of sternocleidomastoid muscle of medial clavicle.
Clavicle* ; Fibroma ; Osteochondroma* ; Torticollis*

Sternomastoid tumor has long been recognized as a peculiar fibrous growth of the sternocleidomastoid muscle that usually appears during first several weeks of life. Sternomastoid tumor has often been referred to as "congenital torticollis" or "congenital muscular torticollis" because it is often associated with muscular torticollis. Some authors prefer to discuss them separately as either "sternomastoid tumor" when mass is palpable, or "muscular torticollis" when only tightness of sternomastoid muscle is present. Although it is disputed whether sternomastoid tumor will lead to muscular torticollis, 1/4-1/3 numbers of sternomastoid tumor does progress to muscular torticollis. However, muscular torticollis may occur in children without history of a mass in the sternocleidomastoid muscle. We present two cases of sternomastoid tumor that is combined with torticollis, one case was treated by physiotherapy and the other by surgery.
Child ; Humans ; Torticollis

An one year old girl with congenital torticolis was subjected to study. At birth, an oval neck mass was persisted at the right side, which made the head tilted. The patient was treated by massage to reduce the contraction of clavicle muscle. Infra-red was irradiated during 10 minutes in the neck and the left side lumbar regions. Exercises were practised to rotate the neck and the trunk, and to stretch the neck. Mother was trained for holding and carrying the child at home. 4 months of treatment gave good results
Torticollis ; Therapeutics ; Physical Therapy (Specialty)

PURPOSE: This study was conducted to evaluate the results and usefulness of the unipolar release of sternocleidomastoideus for the treatment of congenital muscular torticollis in children. MATERIALS AND METHODS: From March 1991 to March 1999, we retrospectively reviewed and analyzed 19 congenital muscular torticollis patients who were treated by the unipolar release of sternocleidomastoideus. Patients were followed for an average of 4.3 (range, 1.3 to 9.3) years. Clinical results were evaluated cosmetically and functionally, in a manner similar to that used by Canale et al. RESULTS: Of the 19 cases, 15 patients (79%) were good, 4 (21%) poor, and none were fair in the initial operation. Overall results were 79% good after initial operation and 89% good including after reoperating upon 2 cases. CONCLUSION: Simple unipolar release of sternocleidomastoideus in congenital muscular torticollis showed high rate of success (79%). Therefore, we considered it to be an effective primary surgical procedure for the treatment of congenital muscular torticollis.
Child* ; Humans ; Retrospective Studies ; Torticollis*

Professor ' clinical experience in the treatment of primary cervical dystonia based on the syndrome differentiation of TCM was explored preliminarily. Based on the disease identification of western medicine and the syndrome differentiation of TCM, in combination with the differentiations of meridians and collaterals of acupuncture, Professor proposes the three-dimensional system of diagnosis and treatment of acupuncture, named "disease differentiation, TCM syndrome differentiation and meridian differentiation". Regarding the diagnosis and treatment of primary cervical dystonia, the physical examination of nerve system, TCM syndrome differentiation and meridian differentiation are equally important. It is pointed out that the key pathogenesis of the disease is and blood obstruction and the malnutrition in the muscle regions of meridians. Hence, the treating principle is proposed as eliminating the exogenous pathogens, regulating and blood and unblocking the muscle regions of meridians. Professor also stresses that the affected sites and the factors of dystonia should be considered in acupuncture treatment. The local points are mainly those adjacent to the responsible muscles with the motor disturbance in the neck region. "Xinshe" point (Extra) is taken as the empirical point. The distal points are selected in accordance with the three-dimensional system of diagnosis and treatment. At the same time, the percutaneous acupoint electric stimulation is applied to the starting and ending points or the conjunctive points of the affected muscles, acting on regulating , nourishing blood and promoting the circulation in meridians and collaterals.
Acupuncture Therapy ; Humans ; Meridians ; Torticollis