Koot R W, Henneveld H T, Albrecht K W
Academisch Medisch Centrum, afd. Neurochirurgie, Amsterdam.
Ned Tijdschr Geneeskd. 1998 May 2;142(18):1030-3.
Two children were presented with a torticollis. One, a 2-year-old girl, had a primitive neuroectodermal tumour of the cervical spinal cord which could not be radically removed surgically (the patient died three days later), the other, a 9-year-old boy, had the syndrome of Grisel. He was treated with antibiotics, head traction and atlantoaxial posterior spondylodesis. Acquired torticollis is a frequent innocent symptom in children with cervical lymphadenopathy following a respiratory tract infection. These cases demonstrate that additional investigation should not be delayed if relief of symptoms is not achieved very soon.