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Benign paroxysmal torticollis disappears in the early years of life with no medical intervention. [1] [2] [3] However, some cases of benign paroxysmal torticollis cases can evolve into benign paroxysmal vertigo of childhood, migrainous vertigo or typical migraines. [1] [2]
More than 98% of infants with torticollis treated before 1 month of age recover by 2.5 months of age. [34] Infants between 1 and 6 months usually require about 6 months of treatment. [ 34 ] After that point, therapy will take closer to 9 months, and it is less likely that the torticollis will be fully resolved. [ 34 ]
In the past, dopamine blocking agents have been used in the treatment of spasmodic torticollis. Treatment was based on the theory that there is an imbalance of the neurotransmitter dopamine in the basal ganglia. These drugs have fallen out of fashion due to various serious side effects: sedation, parkinsonism, and tardive dyskinesia. [16]
Sandifer syndrome (or Sandifer's syndrome) is an eponymous paediatric medical disorder, characterised by gastrointestinal symptoms and associated neurological features. [1] [2] [3] There is a significant correlation between the syndrome and gastro-oesophageal reflux disease (GORD); however, it is estimated to occur in less than 1% of children ...
People may complain of neck pain, after years of chronic head tilting (ocular torticollis), but this is also encountered in children. [ 4 ] Congenital fourth nerve palsy can affect reading comprehension (and concentration during other near tasks) due to the increased vertical fusional demands and head tilting required to maintain single vision ...
Signs and symptoms may include the following stiff neck (limited neck mobility or torticollis), [3] some form of palpable neck pain (may be in "front of the neck" or around the Adam's apple), malaise, difficulty swallowing, fever, stridor, drooling, croup-like cough or enlarged cervical lymph nodes. Any combination of these symptoms should ...
The asymmetrical tonic neck reflex (ATNR) in a two-week-old female, with extension of the left extremities and flexion of the right. The asymmetrical tonic neck reflex (ATNR) is a primitive reflex found in newborn humans that normally vanishes around 6 months of age.
The cause is usually a developmental abnormality arising in the early prenatal period, typically failure of obliteration of the second, third, and fourth branchial cleft, i.e. failure of fusion of the second branchial arches and epicardial ridge in lower part of the neck. Branchial cleft cysts account for almost 20% of neck masses in children. [1]