Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Mov Disord. 2010 Oct 30;25(14):2453-6. doi: 10.1002/mds.23371.
Congenital muscular torticollis (CMT) is the most common cause of torticollis in childhood. This condition is usually recognized and successfully treated in infancy, but may persist in adulthood, particularly if not treated. In adult patients, CMT can be differentiated from idiopathic cervical dystonia by the frequent association with facial asymmetry, presence of a cord-like sternocleiodmastoid muscle (SCM), absence of head tremor, lack of sensory trick, and head tilt since infancy. We describe 3 patients with persistent CMT, who were successfully treated with botulinum toxin injections with long lasting benefit.
先天性肌性斜颈（CMT）是儿童斜颈最常见的原因。这种情况通常在婴儿期被发现并成功治疗，但可能在成年期持续存在，特别是如果不治疗的话。在成年患者中，CMT 可以通过以下特征与特发性颈肌张力障碍相区别：常伴有面部不对称、胸锁乳突肌（SCM）呈索状、无头部震颤、无感觉诡计、以及自婴儿期开始即存在头部倾斜。我们描述了 3 例持续性 CMT 患者，他们接受肉毒毒素注射治疗后取得了良好的效果，且疗效持久。
