What are the causes of torticollis? What causes torticollis?

The cause of torticollis malformation is not yet definitive, and most scholars believe that abnormal intrauterine pressure and fetal position are not the main causes of torticollis. The fetus is in the uterus in an abnormal position or is subjected to abnormal uterine wall pressure, which compresses one side of the neck, and the blood circulation inside the sternocleidomastoid muscle is impaired, causing ischemic muscle spasm of the muscle, causing torticollis. It is also believed that the embolization of the vegetative blood vessels of the sternocleidomastoid muscle leads to fibrosis of the muscles and causes torticollis.

Of course, abnormal labor and unsmooth delivery may also cause damage to the sternocleidomastoid muscle. Another point worth noting is the genetic factor, because 25% of children have a clear family history, so it is believed that the cause of torticollis is related to genetics.

Causes of torticollis: 1. Congenital, most scholars believe that abnormal intrauterine pressure or embryonic fetal position is the main reason for congenital muscular torticollis. 2. Acquired, mainly caused by various reasons of central nervous system damage, causing extravertebral movement disorders.

It may also be caused by mental and psychological factors.

Congenital, genetic, cold, traumatic.

Serious impact on work and life.

Congenital, genetic and serious effects on work and life.

There are many causes of torticollis, such as muscles, bones, nerves, etc., which can cause the neck to be crooked to one side. However, the most common cause of torticollis in children is fibrosis of the sternocleidomastoid muscle, the largest muscle in the neck.

There are many reasons for insoles, **unclear, cervical spondylosis, trauma, cold breeze, etc. can lead to this condition.

It can be done through Chinese medicine**.

In general, it is caused by trauma and wind chill.

Is the situation getting better now, you can try Chinese medicine**.

Torticollis can be divided into congenital muscular torticollis and congenital lead-digging bony torticollis. The former is a congenital neck deformity caused by a contracture of the sternocleidomastoid muscle on one side of the head and neck that is skewed, and is quite common; The latter is torticollis due to deformity of cervical spine bone development and is less common.

The nature of congenital muscular torticollis is still unknown. However, most scholars believe that abnormal intrauterine pressure or embryonic position is not the main cause of congenital muscular torticollis. The fetus in the intrauterine position is not in the right position or is judged to be abnormal, the uterine wall pressure can compress one side of the neck, and the local blood circulation in the sternocleidomastoid muscle is obstructed, resulting in ischemic fibrosis of the muscle and causing torticollis, and some scholars believe that it is the sternocleidomastoid muscular vegetative vascular embolism, resulting in muscle fiber degeneration and the formation of torticollis.

Dystocia and forceps use are among the causes of muscular torticollis. Because it is more common in breech presentation, examination of the sternocleidomastoid muscle mass does not reveal old traces of bleeding, so this view has not been conclusively confirmed.

1 5 of the children with this disease have a clear family history, so it is believed that its occurrence is related to genetics, and such children often have congenital acetabular dysplasia and other malformations.

The main major ** of torticollis is unclear and may be related to contractures of the neck muscles and dysplasia of the cervical spine. Torticollis is more common in people with family history, children, etc., and can also be induced by lifestyle habits, brain diseases, trauma, etc.

First, the main **.

1. Neck muscle contracture: mainly fibrosis and contracture of one side of the sternocleidomastoid muscle, which causes sternocleidomastoid muscle degeneration, and birth injury or dystocia during childbirth may be the cause of sternocleidomastoid muscle ischemia, hemorrhage, hematoma organization, and muscle fibrosis.

2. Abnormal development of cervical spine: torticollis caused by abnormal development of vertebral body during cervical spine development, such as vertebral body formation disorder (hemivertebral body, wedge-shaped vertebrae), abnormal fusion of vertebral body (blocked vertebrae, vertebral body segmentation insufficiency), odontoid process deformity, etc.

3. Genetic factors: Because the child was born with torticollis, it may be related to the genetics of the parents.

4. Abnormal fetal position: the position of the fetus in the uterus is not correct or the uterine wall pressure is abnormal, which will compress one side of the baby's neck, and the local blood circulation in the sternocleidomastoid muscle will be blocked, resulting in ischemic fibrous contracture of the sternocleidomastoid muscle, resulting in the baby's torticollis.

2. Predisposing factors.

1. Lifestyle habits: It is more common in people who work at the desk for a long time and play with their heads bowed to their mobile phones, and the abnormal neck structure induces torticollis.

2. Brain diseases: common in encephalitis, multiple sclerosis, cerebral hemorrhage and other diseases, compression of nerves and blood vessels induces torticollis.

3. Trauma: especially in the head, neck and shoulder trauma, causing permanent damage to muscles and bones to induce torticollis.

Torticollis is a contracture of the sternocleidomastoid muscle on one side, or a deformity of cervical spine bone development that causes the head to deviate to one side and deviate, and the ** of the oblique diameter mainly has congenital factors and acquired factors. Congenital torticollis is thought to be an abnormal intrauterine pressure or a fetal malposition that produces congenital torticollis. Acquired factors mainly include injury, strain, cervical spine disease and central nervous system damage caused by various reasons, which leads to muscle movement disorders in the neck, and mental and psychological factors can also cause torticollis.

For congenital torticollis, it is mainly early detection, early diagnosis, and early **, and there will be no sequelae. For torticollis caused by injury, cervical spondylosis, or central nervous system damage, it is mostly supportive. At the same time, if the torticollis cannot be relieved, local corrective surgery can be performed on the torticollis.

Spasmodic torticollis, also known as neuropathic torticollis, is a relatively rare neurological disease, the incidence is not high, about 100,000 9, that is, about 9 out of 100,000 people are spasmodic torticollis patients, although the incidence of this disease is not high, but for China's huge population base, the number of patients is really not a few.

Spasmodic torticollis does not affect daily life and work much in the early stage, and is mostly manifested as occasional neck tilt to one side, which does not last, but as time goes by, the condition will become more and more serious, from the beginning does not affect daily life and work, and can develop to the later stage of life can not take care of themselves, this onset period is only a few years, some only a few months, different people. Because the speed of development of this disease is related to personal emotional factors, when your emotions have been in an unstable state, especially in a negative state, the development of the disease will be very rapid, the situation will become worse and worse, as soon as the disease deteriorates, the patient's emotions will be more intense, forming a vicious circle, so the most important thing is to maintain a good attitude after having spasmodic torticollis.

Mindset can not only control the development rate of spasmodic torticollis, but also control the complications caused by spastic torticollis, such as depression and autism. It can be said that as long as the spastic torticollis is grasped and treated with an equal mentality, the spasmodic torticollis is almost half better. However, the harm of spasmodic torticollis can still not be underestimated, and spastic torticollis that has not been effectively treated for a long time can be accompanied by deformities, such as cervical vertebrae deformity; There will also be visual impairment, due to torticollis causing both eyes not to be at the same level, which is easy to cause visual fatigue and affect vision; Cervical scoliosis is mainly caused by the rotation of the head and neck to the unaffected side, thus causing compensatory scoliosis to the unaffected side; The eye on the affected side descends, and due to the contracture of the sternocleidomastoid muscle, the patient's eye position shifts from the original horizontal shape to the downward; There can also be bilateral facial deformation, due to the rotation of the head that causes the size of the bilateral side holes to be different, resulting in the phenomenon of facial deformation, which is often referred to as the size of the face.

Congenital torticollis refers to a congenital unilateral contracture of the sternocleidomastoid muscle, resulting in an asymmetrical deformity of the head and neck, with the head tilted to the affected side and the jaw turned to the unaffected side. It is a fibrous contracture of the sternocleidomastoid muscle on one side and an ipsilateral deviation of the neck. It is usually caused by birth trauma, abnormal delivery or abnormal fetal position, resulting in sternocleidomastoid muscle injury, hematoma organization, and contracture.

Congenital muscular torticollis was reported in 1912 by Klippel and Feil and is called Klippel-Feil syndrome. Also known as congenital bony torticollis or congenital cervical fusion deformity, it refers to the fusion of two or more cervical vertebrae. The main manifestation is shortening of the cervical spine.

MRI can clearly visualize the segments of cervical spine fusion and determine the location and severity of spinal cord compression.

1. Spastic torticollis is a forced rotation of the head to one side due to the clonic or forced involuntary contraction of the cervical muscles. The clinical manifestations of spastic torticollis vary. The onset is usually very slow, but it can also occur suddenly, especially in patients with hysteria.

Both deep and superficial muscles of the neck can be affected, but contractions of the sternocleidomastoid muscle, trapezius muscle, and cervical splint muscle are the most common symptoms.

2. When the sternocleidomastoid muscles on both sides contract at the same time, the head is flexed forward, which is called "anterior neck tilt". When the neck clamp and trapezius muscles on both sides contract at the same time, the head is hyperextended backwards, which is called "neck retroversion". Patients with tonic muscle contractions present with recurrent clonic throbbing spasms, which are more common in patients with hysteria, often involving both cervical muscles, but are always more severe on one side.

Hypertrophy of the affected muscles may occur.

3. The involuntary movement of the neck muscles can be very slight and neglected in the early stage, and then become more and more serious, and finally it is necessary to use great force to pull the head back to one side. The frequency of spasms varies from person to person.