Ramdoo Krishan, Hall Andy, Dimitriadis Panagiotis A, Singh Arvind
Department of Ear, Nose and Throat Surgery, Northwick Park Hospital, London, UK.
BMJ Case Rep. 2014 Mar 10;2014:bcr2013201539. doi: 10.1136/bcr-2013-201539.
The term torticollis is derived from the Latin words 'tortis' for twisted and 'collum' for neck. Typical features include sudden onset of severe unilateral pain, with restriction of movements and deviation of the neck to that side. Although torticollis is a well recognised abnormality, there is minimal literature identifying it as a sole long-standing complication in otological surgery. We present the case of a 15-year-old boy who developed permanent torticollis following a routine tympanoplasty. A CT of the neck revealed an atlantoaxial rotatory fixation with cross fusion between C1 and C2. This case highlights a rare cause of torticollis resulting from a routine otological procedure. It also differentiates between Grisel's syndrome, which is characterised by atlantoaxial subluxation as opposed to fusion. The role of the multidisciplinary team is imperative and in particular the need for urgent discussion with the neurosurgical team to ensure prompt assessment and management of the patient takes place.
斜颈一词源于拉丁语，“tortis”意为扭曲，“collum”意为颈部。典型特征包括突然发作的严重单侧疼痛、活动受限以及颈部向患侧偏斜。尽管斜颈是一种广为人知的异常情况，但将其认定为耳科手术中唯一长期存在的并发症的文献却很少。我们报告一例15岁男孩在常规鼓膜成形术后出现永久性斜颈的病例。颈部CT显示寰枢椎旋转固定，C1和C2之间有交叉融合。该病例突出了常规耳科手术导致斜颈的罕见原因。它还区分了以寰枢椎半脱位而非融合为特征的格里塞尔综合征。多学科团队的作用至关重要，尤其需要与神经外科团队进行紧急讨论，以确保对患者进行及时评估和管理。
