Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 5497
  Title Spinal cord astrocytoma presenting as torticollis and scoliosis [case report]
Journal J Manipulative Physiol Ther. 1994 Feb;17(2):113-118
Peer Review Yes
Publication Type Case Report

OBJECTIVE: To illustrate the importance of a careful differential diagnosis in children presenting with torticollis.

CLINICAL FEATURES: A 14-yr-old boy presented with a 6-month history of neck pain, torticollis and increasing neurological deficit. Past physiotherapy and chiropractic treatment had not helped. A myelogram and MRI scan revealed a large intramedullary lesion.

INTERVENTION AND OUTCOME: He was treated by laminectomy with partial excision of the lesion, followed by radiotherapy. Pathology confirmed the diagnosis of astrocytoma. The patient developed postlaminectomy instability and required spinal fusion.

CONCLUSION: The differential diagnosis of torticollis in children is extensive and should always include spinal tumor.

This abstract is reproduced with the permission of the publisher. Article only available in print.


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