Rheumatology
Fazal-I-Akbar Danish in Essential Lists of Differential Diagnoses for MRCP with diagnostic hints, 2017
Pain or limitation of movement at the neck:1 Torticollis: a Infantile torticollis (onset within the first 3 yr).b Spasmodic torticollis (d/t recurrent trapezius and sternomastoid spasm) – onset at 10–30 yr.2 Cervical rib.3 Anterior/posterior disc prolapse (usually C5/C6 disc prolapse → C6/C7 root compression).
Botulinum toxin type A treatment for depression, Raynaud's phenomenon, and other novel dermatologic therapeutic applications
Anthony V. Benedetto in Botulinum Toxins in Clinical Aesthetic Practice, 2017
Since BoNT-A was first reported to be useful for the reduction in the pain of spasmodic torticollis in 1985,1 the number of references in PubMed Central to “botulinum” and “pain” has been growing at an increasing rate, and by January 2016 there were over 3000 publications.2 The list of painful conditions reported to respond well to BoNT-A is also growing, and now includes some dermatologic conditions, and other conditions like headache which are treated by some dermatologists who have expertise in the use of BoNT-A.3,4
Balance Disorders in Children
John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed in Paediatrics, The Ear, Skull Base, 2018
BPV has a very favourable long-term prognosis. In one study the condition had resolved by about 8 years of age, and on long-term follow-up 21% had developed migraine but none had any vertigo or balance disorder.13 The differential diagnosis of a child or baby presenting with marked torticollis is large and varied and should include congenital torticollis, paroxysmal torticollis with vertigo, mastoiditis or neck abscess, skull base tumour and neurological extrapyramidal spasmodic torticollis or psychogenic spasmodic torticollis.
Cervical dystonia: an update on therapeutics
Published in Expert Opinion on Orphan Drugs, 2019
Shivam Om Mittal, Abhishek Lenka, Joseph Jankovic
Cervical dystonia (CD) is defined as a neurological syndrome characterized by involuntary, sustained, patterned, and often repetitive muscle contractions of cervical muscles, causing twisting movements or abnormal positions of the neck and head [1–3]. CD, the most common dystonia seen in movement disorders clinics, often impacts the quality of life due to involuntary movements and abnormal postures of neck and head, neck pain, limitations in the range of neck movements, embarrassment, and other psychosocial problems [4]. Based on a registry of 1,038 patients, about 58% reported decreased productivity at work due to CD and approximately 40% lost their employment due to CD, predominantly due to neck pain symptoms [5]. Patients with higher Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) score for severity and disability also had more severe neck pain symptoms [6]. Thus, optimizing treatment to improve the dystonia also ameliorates neck pain. Patients with CD can have head tremor, classified as ‘yes-yes,’ ‘no-no,’ or mixed jerky head oscillations. CD with head tremor is subtype of CD patients, mostly seen in elderly woman and have more generalized ataxia, gait and speech issues compared to the non-tremulous dystonic phenotype [7].
René Cruchet (1875–1959), beyond encephalitis lethargica
Published in Journal of the History of the Neurosciences, 2022
He asserted he was the first to identify neuralgic torticollis, a defensive attitude, comparing this clinical picture to facial neuralgia. The professional form was due to a repeated movement or position sustained for a long time, as in the case of writer’s cramp. He established a similarity between paralytic torticollis and facial palsy that can result in a spastic residual contraction. Spasmodic torticollis was similar to facial spasms and could “present as spasmodic bradykinesia, an entirely new disease or one that has not attracted notice until now, our description being the first, as validated by the English School” (1920b).
The cost-effectiveness of abobotulinumtoxinA (Dysport) and onabotulinumtoxinA (Botox) for managing spasticity of the upper and lower limbs, and cervical dystonia
Published in Journal of Medical Economics, 2022
Natalya Danchenko, Karissa M. Johnston, John Whalen
Spasticity involves muscle hypertonia which can be painful, result in complications, and decrease the ability to perform activities of daily living such as self-care and quality-of-life1,2. It is a complex condition to manage as it can cause muscle contracture and deformity, potentially limiting function and movement2–4. Spasticity can affect the lower limbs, neck, and upper limbs. Cervical dystonia (CD), or spasmodic torticollis, is a painful condition that involves involuntary contraction of neck muscles which causes uncontrollable head tilting and twisting5.
Related Knowledge Centers
- Botulinum Toxin
- Dystonia
- Functional Magnetic Resonance Imaging
- Positron Emission Tomography
- Basal Ganglia
- Dysarthria
- Hypertrophy
- Neurology
- Movement Disorder
- Idiopathic Disease