Cervical Dystonia Mimics: A Case Series and Review of the Literature

Overview

Journal Tremor Other Hyperkinet Mov (N Y)

Publisher Ubiquity Press

Date 2019 Dec 24

PMID 31867135

Citations 3

Authors

Srinivas Raju

Amogh Ravi

L K Prashanth

Affiliations

Soon will be listed here.

Abstract

Background: Cervical dystonia is mostly idiopathic in nature. However, a small subset of cases are mimics, leading to diagnostic pitfalls. There is paucity of literature on pseudodystonias affecting the cervical region.

Method: We performed a retrospective review of patients attending a movement disorders clinic over a period of 7 years (2012-2018). Among them, those who were considered to have mimics of cervical dystonia based upon clinical and supportive investigations were included.

Results: Six out of 2,412 patients (0.24%) were diagnosed as cervical dystonia mimics and the causes included isolated neck extensor myopathy (2), craniovertebral junction anomalies (2), sternocleidomastoid fibrosis (1) and post traumatic sequelae (1). Among these patients, three patients had received various treatments for cervical dystonia, including botulinum toxin injections.

Discussion: Mimics of isolated cervical dystonia are rare. A high degree of suspicion and proper diligent clinical assessment assists management and prognostication.

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References

Pizzol A, Bramuzzo M, Pillon R, Taddio A, Barbi E . Torticollis as the Presenting Sign of Cervical Spondylodiscitis. Pediatr Emerg Care. 2016; 32(12):863-864. DOI: 10.1097/PEC.0000000000000643. View

Walton J, Darr A, George A . An unusual case of an oesophageal foreign body presenting as torticollis. Ann R Coll Surg Engl. 2016; 98(3):e40-2. PMC: 5226167. DOI: 10.1308/rcsann.2016.0076. View

Deichmueller C, Welkoborsky H . Grisel's syndrome--a rare complication following "small" operations and infections in the ENT region. Eur Arch Otorhinolaryngol. 2010; 267(9):1467-73. DOI: 10.1007/s00405-010-1241-z. View

Martin A, Reddy R, Fehlings M . Dropped head syndrome: diagnosis and management. Evid Based Spine Care J. 2013; 2(2):41-7. PMC: 3621852. DOI: 10.1055/s-0030-1267104. View

Saifudheen K . Idiopathic intracranial hypertension presenting as stiff neck and torticollis. Neurol India. 2010; 58(6):982. DOI: 10.4103/0028-3886.73765. View

Simsek S, Yigitkanli K, Kazanci A, Belen D, Bavbek M . Medically treated paravertebral Brucella abscess presenting with acute torticollis: case report. Surg Neurol. 2007; 67(2):207-10. DOI: 10.1016/j.surneu.2006.06.061. View

Al Kaissi A, Ben Chehida F, Ganger R, Klaushofer K, Grill F . Distinctive spine abnormalities in patients with Goldenhar syndrome: tomographic assessment. Eur Spine J. 2014; 24(3):594-9. DOI: 10.1007/s00586-014-3204-3. View

Weigel R, Capelle H, Krauss J . Cervical dystonia in Bechterev disease resulting in atlantoaxial rotatory subluxation and cranio-cervical osseous fusion. Spine (Phila Pa 1976). 2008; 32(25):E781-4. DOI: 10.1097/BRS.0b013e31815b7e35. View

Bredenkamp J, Maceri D . Inflammatory torticollis in children. Arch Otolaryngol Head Neck Surg. 1990; 116(3):310-3. DOI: 10.1001/archotol.1990.01870030074012. View

10.

Hallberg A, Standring R, Ahsan S . Congenital torticollis and saccular dysfunction: a case report. JAMA Otolaryngol Head Neck Surg. 2013; 139(6):639-42. DOI: 10.1001/jamaoto.2013.3283. View

11.

Goeminne L . A new probably X-linked inherited syndrome: congenital muscular torticollis, multiple keloids cryptorchidism and renal dysplasia. Acta Genet Med Gemellol (Roma). 1968; 17(3):439-67. DOI: 10.1017/s1120962300012634. View

12.

Hervey-Jumper S, Justice D, Vanaman M, Nelson V, Yang L . Torticollis associated with neonatal brachial plexus palsy. Pediatr Neurol. 2011; 45(5):305-10. DOI: 10.1016/j.pediatrneurol.2011.08.013. View

13.

Lopez-Vicchi M, Da Prat G, Gatto E . Pseudodystonic Posture Secondary to Klippel-Feil Syndrome and Diastematomyelia. Tremor Other Hyperkinet Mov (N Y). 2016; 5:325. PMC: 4496723. DOI: 10.7916/D8ZC820C. View

14.

Yahr M, Hilal S . Extrapyramidal dysfunction with cerebral arteriovenous malformations. J Neurol Neurosurg Psychiatry. 1974; 37(3):259-68. PMC: 494638. DOI: 10.1136/jnnp.37.3.259. View

15.

Zibis A, Giannis D, Malizos K, Kitsioulis P, Arvanitis D . Acute calcific tendinitis of the longus colli muscle: case report and review of the literature. Eur Spine J. 2012; 22 Suppl 3:S434-8. PMC: 3641270. DOI: 10.1007/s00586-012-2584-5. View

16.

Souza P, Pinto W, Oliveira A . Basilar invagination in headache associated with physical exertion and recurrent torticollis. Arq Neuropsiquiatr. 2014; 72(11):902-3. DOI: 10.1590/0004-282x20140163. View

17.

Yasutomo K, Hashimoto T, Miyazaki M, Kuroda Y . Recurrent torticollis as a presentation of moyamoya disease. J Child Neurol. 1993; 8(2):187-8. DOI: 10.1177/088307389300800215. View

18.

Per H, Canpolat M, Tumturk A, Gumus H, Gokoglu A, Yikilmaz A . Different etiologies of acquired torticollis in childhood. Childs Nerv Syst. 2013; 30(3):431-40. DOI: 10.1007/s00381-013-2302-6. View

19.

Ortiz G, Pratts I, Ramos E . Grisel's syndrome: an unusual cause of torticollis. J Pediatr Rehabil Med. 2013; 6(3):175-80. DOI: 10.3233/PRM-130253. View

20.

Schmerler D, Espay A . Functional dystonia. Handb Clin Neurol. 2016; 139:235-245. DOI: 10.1016/B978-0-12-801772-2.00020-5. View