What are the symptoms of torticollis?

Clinical presentation. 1.Torticollis deformity.

After birth, the mother may notice that the baby's head is tilted toward the affected side, the face is rotated to the unaffected side, and the chin is directed toward the unaffected shoulder. 2 Torticollis deformity is more pronounced after 3 weeks. Turning the head to the unaffected side is clearly limited and should be detected by careful observation in milder symptoms.

This symptom worsens as the child grows and develops.

2.A lump in the neck.

A palpable neck mass is usually palpable within 2 weeks after birth and is located in the middle and lower sternocleidomastoid muscles, and is more common on the right side. The lump is fusiformal, nontender, and generally reaches its maximum after 1 to 2 months, and then gradually shrinks to complete disappearance, and some of these children may have a lump that does not disappear and produces muscle fibrosis and contractures causing torticollis deformity.

3.Facial deformities.

Congenital muscular torticollis is not effective in the early stages**, and facial deformities appear after 2 years of age. The main manifestations are facial asymmetry, the distance from the outer corner of the eye to the mouth corner of the mouth is asymmetrical, the distance between the affected side is shortened, and the unaffected side is increased. The position of the eye on the affected side is lowered, and because the eyes are not on the same level, it is easy to cause visual fatigue and vision loss.

The face on the unaffected side is round and full, while the affected side is narrow and flat. Compensatory scoliosis deformities can occur in the cervical spine. In addition, the entire face, including the nose and ears, may also have asymmetrical changes.

In addition to the above main manifestations, this disease can also be combined with congenital acetabular dislocation and other deformities of the cervical spine.

The head is tilted to one side, and the walking posture is strange, but the patient himself does not know that if it is not timely**, long-term development will lead to cervical scoliosis compressing the nerves and other symptoms.

The main symptoms are head tilt to the affected side, chin twist to the opposite side, limited neck motion, and possibly dysphagia. Torticollis is mainly conservative** and surgical**. Dopaminers, benzodiazepines, etc. are commonly used.

It is also necessary to actively adjust the lifestyle at ordinary times, which is helpful for torticollis. If congenital torticollis is present, surgery is required**.

Typical symptoms of torticollis include neck lumps, deformities, abnormal neck movements, and some patients may experience neck soreness due to neck muscle contracture and stretching, which can be relieved after rest. Dysphagia and bone spurs are common complications of torticollis.

1. Typical symptoms.

1. Neck mass: There is a protruding mass in the middle and lower part of the sternocleidomastoid muscle on one side of the neck, which is hard, oval or round, and moves left and right with the passive movement of the sternocleidomastoid muscle. The surface of the lump is not red, the temperature is normal, and there is no tenderness.

2. Deformity: The patient's whole face is asymmetrical, the face of the affected side is short and flat, the face of the unaffected side is long and round, and the eyes and ears are not on the same plane. Neck and facial deformities tend to worsen with age.

In the advanced stage, the deep fascia of the affected side of the neck is thickened and contracture, the anterior middle scalene muscle contracture, followed by the shortening of the carotid artery sheath and intrathecal blood vessels, and the cervical spine and upper thoracic scoliosis.

3. Abnormal neck movement: the patient's head is tilted to the affected side, and the tip of the lower jaw is turned to the unaffected side. Rotational movement of the active or passive head tilted to the unaffected side (or the jaw turned to the affected side) is limited to varying degrees.

2. Other symptoms.

Some patients may have neck soreness due to neck muscle contracture and stretching, which can be relieved after rest.

Torticollis mostly refers to a muscular origin, which we medically call muscular torticollis. The most typical symptom of muscular torticollis is that the head is tilted to the affected side and the jaw is turned to the unaffected side, such as the right muscular torticollis, often with his head tilted to the right and his jaw rotated to the left.

All types of torticollis have symptoms of abnormal head and neck posture, which is characterized by head tilt to the affected side, chin twist to the opposite side, and limited neck rotation. In addition, congenital muscular torticollis often presents a superficial mass in the neck, congenital bony torticollis can have appearance deformities such as short and thick neck, and spasmodic torticollis is mainly neck pain and soreness.

Spasmodic torticollis, commonly known as crooked neck, is mainly manifested by abnormal posture of the neck and shoulders. Patients may present with the neck twisted or crooked to one side, or the neck tilted forward, or the neck tilted back.

Qin, male, 52 years old, from Qingdao. 3 years ago, there was spasmodic torticollis, the neck was tilted to the right, and he could not be straightened, and he was diagnosed with dystonia in Qingdao, Beijing and other places. Diagnosis:

Spasmodic torticollis, previously taken Chinese and Western medicines, the neck is crooked to the right, muscle stiffness, increased pain in straightening, abnormal bowel and bowel movements, and difficulty walking. Give correction to the return of the soup plus or minus, lily, rehmannia rehmannia, rehmannia rehmannia, tortoise plate, white peony, boiled licorice, whole scorpion, turtle carapace, etc. 30 doses, decoction in water, 1 dose per day, divided into 2 doses per day.

Second diagnosis: body heat and thirst are reduced, and cork, mother, etc. 30 doses.

Third diagnosis: relieve muscle and pulse soreness, add astragalus, kudzu, etc. 30 doses.

Fourth diagnosis: five heart irritability, night sweats are basically relieved, plus sea breeze vine, Luo Shi vine, etc. 30 doses.

Five diagnoses: consciously reduce the stiffness of the neck, arms and feet, add potato meat, centipedes, etc. 30 doses.

Sixth diagnosis: spasmodic torticollis did not appear again, plus Clematis, Morinda officinalis, etc. 30 doses.

After that, more than 120 doses of medication** were added or subtracted as appropriate due to changes in the disease syndrome, and all the symptoms were basically recovered. In order to consolidate the efficacy, 30 doses were given before. After 1 year of follow-up, everything was normal.

Congenital torticollis refers to the deformity of the neck tilted to one side immediately after birth, which is called myogenic torticollis caused by muscle lesions; A deformity of skeletal development is called osteogenic torticollis. The true cause of congenital torticollis is still unknown. There are currently several insights into the pathogenesis:

The doctrine of intrauterine fetal position, the doctrine of obstruction of blood vessels, the doctrine of genetics and the doctrine of birth trauma. The clinical manifestations are neck lumps, torticollis, facial asymmetry and other complications. Its **methods are divided into non-surgical ** and surgical**.

**The sooner the effect, the better. In infancy, if non-surgical is insisted on, some patients can**; In childhood or if the sternocleidomastoid muscle contracture is not severe, surgery is required**, yes**; Severe facial asymmetry is evident in sternocleidomastoid muscle contracture, and it may be effective in older patients, but not normal. Shanghai Nanshan Hospital is very professional in torticollis, so it is recommended to take a look.

The sooner congenital torticollis **, the better the effect, and the first year old can be operated on in a qualified hospital Other diseases in children can also have symptoms similar to congenital torticollis, such as strabismus and diplopia, etc., and drooping eyelids can also cause head crookedness These diseases should be distinguished from congenital torticollis Shantou's relatively large public hospitals, such as Shantou People's Hospital, can do this operation In short, choose a large regular public hospital pediatric surgery or general surgery to make a clear diagnosis before ****

Torticollis is commonly known as"Crooked neck"It is a common surgical condition in children. This syndrome usually occurs in young children and has four symptoms: (1) the head is tilted to one side and the chin is facing the opposite shoulder; (2) a hard lump in the neck; (3) The size of the left and right sides of the face is asymmetrical; (4) The cautious movement of the neck is restricted.

In the early stage of muscular torticollis, it is a small mass in the middle and lower 1 3 of the sternocleidomastoid muscle and the lateral muscle of the cervical posture; When the time is about two weeks old, this lump will appear; When it is around, it can grow to nearly two centimeters;

Patients may have symptoms such as abnormal head posture, neck lumps, muscle pain, and often varying degrees of limited neck movement.

Torticollis is related to injuries, such as breech delivery and fetal malposition, compression of the sternocleidomastoid muscle in the neck, vascular compression ischemia, and the arterial lumen of the sternocleidomastoid muscle on the affected side is embolized, resulting in muscle dysplasia, or muscle edema, inflammation causes muscle cell degeneration, resulting in fibrosis in the past life, and finally replaced by connective tissue, resulting in contracture. Children with torticollis often have malformed feet and hip dislocations, so there are congenital factors. If the torticollis is not timely**, with the increase of age, the deformity is more obvious.

The clinical symptoms of torticollis mainly include the following:

Clause. 1. Torticollis deformity, mainly including after the birth of the child, the mother finds that the child's head is tilted to the affected side, the healthy side of the face is rotated, and the lower jaw is pointed to the shoulder of the healthy side.

Clause. 2. Neck mass, generally palpable neck mass after birth or within two weeks of birth, located in the middle and lower part of the sternocleidomastoid muscle, can occur on the right side, the lump is mostly fusiform, no tenderness, generally reaches the maximum after one to two months, and then gradually disappears.

Clause. 3. Deformity of the face, if the congenital muscular torticollis is not effectively treated in the early stage, the deformity of the face will appear after the age of two years, which is mainly manifested as facial asymmetry, and the distance from the outer corner of the eye to the corner of the mouth is not symmetrical.