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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]
There is a higher prevalence of spasmodic torticollis in females; females are 1.5 times more likely to develop spasmodic torticollis than males. The prevalence rate of spasmodic torticollis also increases with age, most patients show symptoms from ages 50–69. The average onset age of spasmodic torticollis is 41. [1]
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 .
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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 ...
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When OMD is combined with blepharospasm, it may be referred to as Meige's Syndrome named after Henri Meige, [1] the French neurologist who first described the symptoms in detail in 1910. The symptoms usually begin between the ages of 30 and 70 years old and appear to be more common in women than in men (2:1 ratio ).
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