Graupman Patrick, Feyma Timothy, Sorenson Thomas, Nussbaum Eric S
Gillette Children's Specialty Healthcare, 200 University Ave E, St Paul, MN, 55101, USA.
National Brain Aneurysm & Tumor Center, United Hospital, 3033 Excelsior Boulevard, Suite 495, Minneapolis, MN, 55416, USA.
Childs Nerv Syst. 2019 Jul;35(7):1263-1266. doi: 10.1007/s00381-019-04065-8. Epub 2019 Jan 30.
Spasmodic torticollis is a rare, neurologic disorder that is caused by abnormal nerve compression of the 11th cranial nerve by blood vessels or bony protrusions. It is typically treated pharmacologically and, if necessary, with surgical intervention. We report a unique case of spasmodic torticollis in a 15-year-old female that involved abnormal compression of the left 11th cranial nerve (CN) by the left vertebral artery, displaced by a hypertrophic left occipital condyle. After treatment with Botox was unsuccessful, the patient was treated with microvascular decompression and occipital condylectomy that adequately relieved the abnormal compression of CN XI. Mild symptoms persisted, and the patient underwent a partial section of the sternocleidomastoid muscle 1 year later, after which torticollis symptoms resolved.
痉挛性斜颈是一种罕见的神经系统疾病，由血管或骨质增生对第11对脑神经的异常压迫所致。该病通常采用药物治疗，必要时进行手术干预。我们报告了一例15岁女性痉挛性斜颈的独特病例，其左侧椎动脉因左侧枕髁肥大而移位，导致左侧第11对脑神经（CN）受到异常压迫。肉毒杆菌毒素治疗无效后，患者接受了微血管减压术和枕髁切除术，充分缓解了第XI对脑神经的异常压迫。仍有轻微症状，1年后患者接受了胸锁乳突肌部分切除术，斜颈症状得以缓解。
