Torticollis - Revision history

Rossdonaldson1: /* Background */

2021-12-11T14:49:21Z

Background

← Older revision		Revision as of 14:49, 11 December 2021
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	==Background==		==Background==
			[[File:Sternohyoid muscle.png\|thumb\|Anterior muscles of the neck.]]
	*Common term for various conditions of head and neck dystonia		*Common term for various conditions of head and neck dystonia
	*Spasmodic torticollis is an abnormal contraction of the muscle in one side of the neck.		*Spasmodic torticollis is an abnormal contraction of the muscle in one side of the neck.

Rossdonaldson1: /* Differential Diagnosis */

2020-11-14T13:47:33Z

Differential Diagnosis

← Older revision		Revision as of 13:47, 14 November 2020
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Neck pain DDX}}		{{Neck pain DDX}}

	{{Jaw spasms DDX}}		{{Jaw spasms DDX}}
			{{Movement disorder DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Differential Diagnosis */

2020-11-14T13:19:58Z

Differential Diagnosis

← Older revision		Revision as of 13:19, 14 November 2020
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Neck pain DDX}}		{{Neck pain DDX}}
	*Anterior horn disease
	*[[cervical spine fractures and dislocations\|C1 and C2 fractures]]		{{Jaw spasms DDX}}
	*Radiculopathy

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* See Also */

2020-11-14T13:18:19Z

ClaireLewis: /* Management */

2019-09-30T22:53:01Z

Management

← Older revision		Revision as of 22:53, 30 September 2019
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	==Management==		==Management==
	===Acute===		===Acute===
	*Pain control and muscle relaxation (PO [[benzodiazepine]] or [[opioid]])		*[[analgesia\|Pain control]] and muscle relaxation (PO [[benzodiazepine]] or [[opioid]])

	===Chronic===		===Chronic===

ClaireLewis at 18:51, 28 September 2019

2019-09-28T18:51:28Z

← Older revision		Revision as of 18:51, 28 September 2019
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	==Clinical Features==		==Clinical Features==
	*~~Painful neck~~ with inability to fully range laterally		*[[Neck pain]] with inability to fully range laterally

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Neck pain DDX}}		{{Neck pain DDX}}
	*Anterior horn disease		*Anterior horn disease
	*C1 and C2 fractures		*[[cervical spine fractures and dislocations\|C1 and C2 fractures]]
	*Radiculopathy		*Radiculopathy

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	==Management==		==Management==
	===Acute===		===Acute===
	*Pain control and muscle relaxation (PO [[~~Benzodiazepine~~]] or [[~~Opioid~~]])		*Pain control and muscle relaxation (PO [[benzodiazepine]] or [[opioid]])

	===Chronic===		===Chronic===

Mholtz at 17:23, 26 May 2017

2017-05-26T17:23:30Z

← Older revision		Revision as of 17:23, 26 May 2017
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	==Background==		==Background==
	*Common term for various conditions of head and neck dystonia		*Common term for various conditions of head and neck dystonia
	*~~spasmodic~~ torticollis is an abnormal contraction of the muscle in one side of the neck.		*Spasmodic torticollis is an abnormal contraction of the muscle in one side of the neck.
	*~~Idiopathic~~ (80-90%)		*Cause is generally idiopathic (80-90%)

	==Clinical Features==		==Clinical Features==
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Neck pain DDX}}		{{Neck pain DDX}}

	*Anterior horn disease		*Anterior horn disease
	*C1 and C2 fractures		*C1 and C2 fractures
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	==Evaluation==		==Evaluation==
	*Clinical Diagnosis		*Clinical Diagnosis
	**Consider cervical X-ray to rule out fracture or dislocation (unlikely to be necessary if no midline tenderness or history of trauma)		*Consider cervical X-ray to rule out fracture or dislocation (unlikely to be necessary if no midline tenderness or history of trauma)

	==Management==		==Management==
	===Acute===		===Acute===
	''Pain control and muscle relaxation''		*Pain control and muscle relaxation (PO [[Benzodiazepine]] or [[Opioid]])
	*[[Opioid]] (~~e.g. 1-2 tabs of~~ [[~~Norco~~]]~~) +/-~~ [[~~benzodiazepine]] (e.g. [[diazepam~~]]) PO

	===Chronic===		===Chronic===
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	==Disposition==		==Disposition==
	*~~Normally outpatient~~		*Discharge

	==See Also==		==See Also==
	*[[~~Retropharyngeal abscess~~]]		*[[Neck pain]]

	==References==		==References==
			<references/>

	[[Category:ENT]]		[[Category:ENT]]

Josgood at 15:46, 26 May 2017

2017-05-26T15:46:35Z

← Older revision		Revision as of 15:46, 26 May 2017
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	==References==		==References==
			[[Category:ENT]]
	[[Category:ID]]

ClaireLewis: /* Chronic */

2016-09-25T17:15:21Z

Chronic

← Older revision		Revision as of 17:15, 25 September 2016
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	===Chronic===		===Chronic===
	*Benztropine		*[[Benztropine]]
	*Muscle relaxants		*Muscle relaxants
	*Botulinum toxin		*Botulinum toxin

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-25T23:27:28Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 23:27, 25 July 2016
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	*Radiculopathy		*Radiculopathy

	==~~Diagnosis~~==		==Evaluation==
	*Clinical Diagnosis		*Clinical Diagnosis
	**Consider cervical X-ray to rule out fracture or dislocation (unlikely to be necessary if no midline tenderness or history of trauma)		**Consider cervical X-ray to rule out fracture or dislocation (unlikely to be necessary if no midline tenderness or history of trauma)

← Older revision		Revision as of 13:18, 14 November 2020
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	==See Also==		==See Also==
	*[[Neck pain]]		*[[Neck pain]]
			*[[Dystonic reaction]]

	==References==		==References==