寰枢椎旋转固定所致斜颈

Torticollis due to atlantoaxial rotatory fixation.

作者信息

Wang Yi-Fen, Mu-Huo Teng Michael, Sun Ying-Chou, Yuan Wei-Hsin, Chang Cheng-Yen

机构信息

Department of Radiology, Taipei Veterans General Hospital, 201, Sec 2, Shih-Pai Road, Peitou District, Taipei 11217 Taiwan.

出版信息

J Clin Neurosci. 2008 Mar;15(3):316-8. doi: 10.1016/j.jocn.2006.10.023.

DOI:10.1016/j.jocn.2006.10.023

PMID:18178438

Abstract

Torticollis due to atlantoaxial rotatory fixation (AARF) is rare. Most cases are idiopathic or occur after infection or minor trauma. AARF can cause neurologic deficits, and patients often present with torticollis that fails to resolve. AARF should be excluded before idiopathic spasmodic torticollis is diagnosed. Computed tomography helps in confirming AARF, and early diagnosis can improve outcomes, although treatment is debatable. We present three children and one adult with AARF and review the literature.

摘要

寰枢椎旋转固定（AARF）所致斜颈较为罕见。多数病例为特发性，或发生于感染或轻微创伤后。AARF可导致神经功能缺损，患者常表现为斜颈且无法缓解。在诊断特发性痉挛性斜颈之前应排除AARF。计算机断层扫描有助于确诊AARF，尽管治疗存在争议，但早期诊断可改善预后。我们报告了3例儿童和1例成人AARF病例并对文献进行了回顾。