Spasmodic torticollis is pain that is intermittent or continuous spasms in the muscles of the neck, prompting the head rotates and tilts forward, backward or sideways.
Torticollis occurs in 1 out of 10,000 people, and about 1.5 times more common in women than men.
This disease can occur at any age but is most commonly found between the ages of 30-60 years.
Cause Of Spasmodic Torticollis
Usually the cause is unknown.
Sometimes some of the following circumstances can cause torticollis:
- Infections of the nervous system
- Tardiv dyskinesia (abnormal facial movements caused by anti-psychosis)
- Neck Tumor.
Newborns may have torticollis (torticollis congenitalis) because of damage to the neck muscles on the birth process.
The imbalance of the eye muscles and bone or muscle deformities upper spine can cause torticollis in children.
Symptoms Of Spasmodic Torticollis
Neck muscle spasms accompanied by sharp pain can occur suddenly and may occur continuously or intermittent.
Usually only one side of the neck are affected.
Direction of the slant and rotation of the head depends on the neck muscles which are affected.
A third patient also had seizures in other areas, which are usually on the eyelids, face, jaw or arms.
Seizures occur suddenly and rarely arise at bedtime.
Torticollis may persist throughout the life of the patient and cause prolonged pain, limited neck movement and posture deformities.
Diagnosis Of Spasmodic Torticollis
Diagnosis is made by physical examination and history of previous neck injury or abnormality.
Sometimes performed several tests to determine the cause of neck muscle spasms, such as X-rays, CT scans and MRI.
Treatment For Spasmodic Torticollis
Sometimes seizures can be reduced for a time to undergo physical therapy and massage.
The medicine works to help reduce muscle spasms and movements outside of conscious and can usually help relieve pain due to spasms.
Usually used anticholinergic drugs (inhibits certain nerve stimulation) and benzodiazepines (tranquilizers).
Sometimes give muscle relaxant medications.
Sometimes surgery to remove the nerve from muscle disorders.
Surgery is done if other treatments do not work.
If the cause is an emotional, psychological therapy is carried out.
In torticollis congenital is intensive physical therapy to stretch the damaged muscle, which began in the first months.
If physical therapy does not work and start too slow, then the muscle should be repaired surgically.
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