Torticollis (wryneck) is a clinical finding of head tilt with or without rotational spinal malalignment. It is not a diagnosis in itself and there are a wide range of underlying conditions. It is most common in the paediatric age group.
Torticollis can be acute (<1 week) or chronic (>1 week), and may be congenital or acquired. In chronic torticollis up to 20% may be due to non-muscular conditions (e.g. skeletal abnormalities) 2.
There is a wide range of causes of torticollis and the presence of associated symptoms/signs is important in narrowing the possible causes. Below is a non-comprehensive list of the more common causes.
- ocular abnormalities, e.g. congenital strabismus/nystagmus
- head and neck
- 1. Haque S, Bilal Shafi BB, Kaleem M. Imaging of torticollis in children. Radiographics. 2012;32 (2): 557-71. doi:10.1148/rg.322105143 - Pubmed citation
- 2. Staheli LT. Fundamentals of pediatric orthopedics. LWW. ISBN:0781774977. Read it at Google Books - Find it at Amazon
- 3. Textbook of Pediatric Emergency Medicine. Lippincott Williams & Wilkins. ISBN:1605471593. Read it at Google Books - Find it at Amazon