Torticollis is in most cases of soft tissue origin,
without need for imaging studies.
Although that is the rule,
in the pediatric age this pathology is more often associated with central nervous system (CNS) or spinal anomalies then in the adult population. The aim of this exhibit is to showcase a series of computer tomography (CT) and magnetic resonance imaging (MRI) cases in pediatric patients with torticollis of CNS/spinal origin. At the conclusion of the exhibit one should be able to:...
derived from the Latin words tortus (twisted) and collis (neck),
is defined as a congenital or acquired deformity characterized by rotational deformity of the cervical spine with secondary tilting of the head . It refers to a symptom rather than a distinct disease process and it can be caused by a wide variety of conditions. Congenital torticollis ( Table 1 ) usually results from skull base and vertebral anomalies or muscular causes.
Acquired torticollis ( Table 2 ) may be...
Findings and procedure details
We present a series of illustrative CT and MR imaging cases collected from our institution’s neuroradiology imaging archive,
focusing on causes of torticollis concerning the neuroradiologist. Causes of torticollis were divided in congenital and acquired and further in to subgroups according totheir origin. 1. CongenitalCauses of Torticollis Congenital torticollis can be divided according to their origin in: - Muscular (not discussed) -Osseous Abnormalities Atlanto-occipital assimilation...
Torticollis is usually a self-limited deformity of muscular origin,
with no need for imaging characterization,
but there are indications for further imaging studies. CT is the preferred imaging technic when suspecting a bony cause and MR when CNS sources are suspected. Radiologists should be aware of the different causes of torticollis in children in order to aid in the diagnosis help direct the treatment.
Mariana Cardoso Diogo Neuroradiology Resident,
Neuroradiology Department Centro Hospital de Lisboa Central,Hospital Dona Estefânia Lisbon,
Portugal E-mail contact: firstname.lastname@example.org
1 - Haque S,
Imaging of Torticollis in Children, RadioGraphics 2012; 32:557–571 2 - Ballock RT,
The prevalence of non-muscular causes of torticollis in children,
J Pediatr Orthop.
1996; 16:500-504. 3 - Grimme JD,
Congenital Anomalies of the Spine,
Neuroimag Clin N Am 2007;17:1–16 4 – Klimo P Jr,
Os odontoideum: presentation,
and treatment in a series of 78 patients,
J Neurosurg Spine...