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Clinical Pediatrics
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Torticollis as the Presenting Sign in Cervical Spine Infection and Tumor

Pongsakdi Visudhiphan

Departments of Pediatrics, Radiology, and Neurological Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 4, Thailand

Surang Chiemchanya

Departments of Pediatrics, Radiology, and Neurological Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 4, Thailand

Racha Somburanasin

Departments of Pediatrics, Radiology, and Neurological Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 4, Thailand

Dhanit Dheandhanoo

Departments of Pediatrics, Radiology, and Neurological Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 4, Thailand

This report presents five patients with cervical-area infection and four with spinal cord tumors who presented with torticollis early in the course of their illnesses. Three children were found to have osteomyelitis of the cervical spine; two, retropharyngeal abscess; two, intramedullary astrocytoma; one, extradural neuroblastoma; and one, extradural sarcoma. Though torticollis is most frequently a benign condition, its persistence or its association with other objective findings should lead to a search for an etiologic basis.

Clinical Pediatrics, Vol. 21, No. 2, 71-76 (1982)
DOI: 10.1177/000992288202100201


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D. S. Berry and R. A. Moriarty
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