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Torticollis is a fixed or dynamic tilt, rotation, with flexion or extension of the head and/or neck. The type of torticollis can be described depending on the positions of the head and neck. [1] [3] [4] laterocollis: the head is tipped toward the shoulder; rotational torticollis: the head rotates along the longitudinal axis towards the shoulder [5]
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]
The classical symptoms of the syndrome are spasmodic torticollis and dystonia. [3] [4] [5] Nodding and rotation of the head, neck extension, gurgling, writhing movements of the limbs, and severe hypotonia have also been noted. [3] Spasms may last for 1–3 minutes and may occur up to 10 times a day.
Spasmodic torticollis: 333.83 G24.3 Idiopathic orofacial dystonia: G24.4 Blepharospasm: 333.81 G24.5 Other dystonias G24.8 Other extrapyramidal movement disorders G25 Essential tremor: 333.1 G25.0 Drug induced tremor G25.1 Other specified form of tremor G25.2 Myoclonus: 333.2 G25.3 Chorea (rapid, involuntary movement) Drug induced chorea: G25.4
Treatment includes anti-inflammatory medications and immobilization of the neck in addition to treatment of the offending infectious cause (if any) with appropriate antibiotics. Early treatment is crucial to prevent long-term sequelae. Surgical fusion may be required for residual instability of the joint.
A study published last year found that a healthy diet could increase lifespan by up to 10 years, and Nathan K. LeBrasseur, a physiologist at Mayo Clinic, previously told BI that spending just 3% ...
Treatment of neck pain depends on the cause. For the vast majority of people, neck pain can be treated conservatively. Recommendations in which it helps alleviate symptoms include applying heat or cold. [4] Other common treatments could include medication, body mechanics training, ergonomic reform, and physical therapy. Treatments may also ...
Constipation occurs when bowel movements become difficult or infrequent. Usually, constipation is classified as fewer than three bowel movements a week, according to Cleveland Clinic. Another ...
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