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Pediatric Torticollis: A Simple Emergency Department Approach

By Anton Helman, MD, CCFP(EM), FCFP | on January 7, 2026 | 0 Comment
EM Cases
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References

  1. Babcock L. Torticollis in children: acute and chronic. Pediatr Ann. 2007;36(3):152-156. PMID: 17358415.
  2. Sistonen SJ, et al. Acquired torticollis in children. Ann Otol Rhinol Laryngol. 2014;123(7):439-446. PMID: 24789245.
  3. Fulkerson DH et al. Atlantoaxial rotatory fixation: A review. J Am Acad Orthop Surg. 2017;25(11):e233-e240. PMID: 29436051.
  4. Pang D, Li V. Atlantoaxial rotatory fixation: part 2—new diagnostic paradigm and a new clinical classification. Neurosurgery. 2005;57(5):941-953. PMID: 16284571.
  5. Noorbakhsh KA, et al. Retropharyngeal abscess in children: epidemiology, clinical features, and management. Laryngoscope. 2021;131(2):343-347. PMID: 34313841.
  6. Riordan T, Wilson M. Lemierre‘s syndrome: more than a historical curiosa. Postgrad Med J. 2004;80(944):328-334. PMID: 15192164.
  7. Morales-La Madrid P, et al. Brain tumors presenting as torticollis in children. J Child Neurol. 2001;16(8):594-596. PMID: 11321174.
  8. McClain CD, et al. Isolated torticollis as the presenting sign of posterior fossa tumors in children. J Pediatr Orthop. 1996;16(2):220-223. PMID: 20515355.
  9. Zulch KJ. Brain tumors presenting with torticollis: clinical spectrum. J Neurol. 1976;213(1):75-84. PMID: 962093.
  10. Fujiwara N et al. Imaging of upper cervical spine disorders. Radiographics. 2002;22(3): e8. PMID: 12006680.
  11. Kellenberger CJ, et al. Imaging of acquired torticollis in children. Eur J Radiol. 2013;82(3):484-493. PMID: 23153812.
  12. Bull MJ, et al. Health Supervision for Children and Adolescents With Down Syndrome. Pediatrics. 2022 May 1;149(5): e2022057010. PMID: 35490285.
  13. Zengel P, et al. Deep neck infections in children: diagnostic imaging and management. Eur Radiol. 2014;24(9):2246-2254. PMID: 24788994.
  14. Hadjinicolaou AV et al. Lemierre‘s Syndrome: A Neglected Disease with Classical Features. Case Rep Med. 2015; 2015:846715. Epub 2015; Jul 15. PMID: 26257787.
  15. Fąfara-Leś A, et al. Torticollis as a first sign of posterior fossa and cervical spinal cord tumors in children. Childs Nerv Syst. 2014; Mar;30(3):425-30. Epub 2013 August 18. PMID: 23955178.
  16. Williams AM, et al. Pediatric acquired torticollis: diagnosis and review. Pediatr Emerg Care. 2016;32(12):880-885. PMID: 26306049.

Pages: 1 2 3 4 | Single Page

Topics: Atlantoaxial SubluxationDown SyndromeLemierre SyndromePediatricsPhysical ExamRetropharyngeal AbscessTorticollis

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