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Torticollis (cont.)

Torticollis Causes and Risk Factors

In adults, acute torticollis can be caused by many different conditions; occasionally, no condition is found as a cause.

Trauma to the neck or spine can lead to torticollis. Injuries to the cervical spine or neck muscles often result in spasm of the muscles, leading to the twisting of the head, characteristic of torticollis.

Other causes include infection of the head or neck. These infections can cause an inflammatory torticollis secondary to inflamed glands and lymph nodes in the neck. The muscles overlying these lymph nodes contract. Torticollis may be associated with abscesses of the throat and upper airway, and those situations can be life-threatening. Other infections of the sinuses, ears, mastoids, jaw, teeth, or scalp can lead to torticollis.

Rarely, tumors, scar tissue, arthritis of the cervical spine, or vascular abnormalities may also cause torticollis.

Certain drugs of abuse such as ketamine, amphetamines, and cocaine as well as commonly prescribed neuroleptic drugs such as prochlorperazine (Compazine), haloperidol (Haldol), and chlorpromazine (Thorazine) can cause acute dystonia (a lack of normal muscle control). This is a condition that involves the sudden onset of involuntary contractions of the muscles of the face, neck, or back.

In addition to bending of the head to one side (acute torticollis), you may experience deviation of the eyes (oculogyric crisis) and protrusion of the tongue (buccolingual crisis). In addition to the causes above, children, infants, and newborns may also acquire torticollis from congenital causes or trauma due to childbirth. Congenital muscular torticollis is the most common cause of torticollis in infants.

Risk factors for torticollis include a family history of the disorder, congenital abnormalities of the cervical spine, taking drugs that predispose to muscular spasm, and trauma.

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Torticollis »

Torticollis (from the Latin torti, meaning twisted and collis, meaning neck) manifests as involuntary contractions of the neck muscles, leading to abnormal postures and movements of the head.

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