The Experts below are selected from a list of 10893 Experts worldwide ranked by ideXlab platform
Adil Surat - One of the best experts on this subject based on the ideXlab platform.
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atlantoaxial rotatory fixation subluxation revisited a computed tomographic analysis of acute Torticollis in pediatric patients
Spine, 2002Co-Authors: Abdusselam Hicazi, Emre Acaroglu, Ahmet Alanay, Muharrem Yazici, Adil SuratAbstract:Study Design. Cross-sectional clinical and radiologic study with a normal control group. Objectives. To compare the range of motion of the atiantoaxial joint in patients with acute torticos with those of normals as measured from computed tomography scans, to took for the existence of alantoaxial rotatory fixation in any position (subluxation or normal range of motion) in this group of patierns, and to clarity the definition of atiantoaxial rotatory subluxation by measuring the atiantodental interval and analyzing the location of the center of rotation in patients as well as normal controls. of Background Data. Although acute acquired Torticollis is usually termed atlantoaxial rotatory subluxation or atlantoaxial rotatory fixation, the radiologic definition of these conditions is not clear. Patients and Methods. Thirty-three consecutive pediatric patients (average age 8.5 years, range 2-18 years) with acute acquired torticoilis were analyzed. All were neurologically intact. Anteroposterior and lateral radiographs were obtained in all atiantoaxial computed tomography scans in 31 patients (dynamic in 23 arid static in 8). Twelve age-matched patients with normal cervical spines were also analyzed with dynamic computed tomography as normal controls. Atlantoaxial rotatory subluxation, atlantoaxial angle, center of rotation, and presence of atlantoaxial rotatory fixation were analyzed in each computed tomography. All patients were treated conservatively. Eight had control dynamic computed tomography scans at the end of the treatment. Results. All patients had atiantoaxial rotatory sublux ation 3 mm. On dynamic computed tomography, the range of atiantoaxial rotation was 30.4° (range 11-54°) toward deformity and 28.3° range 18-54°) away from deformity (P = 0.333). Atlantoaxial rotatory fixation was not noted in any of the patients. The same measurement for the normai control group was 28° (range 5-41°) (P = 0.770). Of the eight patients with repeat control computed tomography, The atiantoaxial rotatory subiuxation was 26° before and 29° after treatment (P = 0.691 to right and P = 0.199 to left). The center or rotation was with dens in 15 of 19 patients, outside dens in 2 of 19, and undetectable in 2 of 19. in the control group, it was within dens in 8 of 11, outside dens in 2 of 11 and undetectable in 1 of 11. All patients were symptom fres at the end of the conservative treatment. Conciustion. We could not demonstrate the presonce of atiantoaxial rotatory subiuxation of atiantoaxial rotatory fixation in our series of 33 consecutive pediatric patients with acute Torticollis, Our findings suggest that the existence of these phenomena are doubtful, although not associated vvith acute acquired Torticollis. Acute acquired Torticollis is not necasserily the sign of a pathologic condition of the atlantoaxial joint. Finally, it is probably not neuessary to obtein computed tomography scans (static or dynamic) in this group of patients at the th of presentation. atlantoaxial rotatory subluxation, atlamoaxial rotatory fixation, dynamic computed tomography.
Joseph Jankovic - One of the best experts on this subject based on the ideXlab platform.
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botulinum toxin injection for congenital muscular Torticollis presenting in children and adults
Neurology, 2006Co-Authors: Abigail Collins, Joseph JankovicAbstract:Congenital muscular Torticollis may present in late childhood or adulthood with cervical contractures, limited range of motion, pain, and muscular hypertrophy. Seven of eight pediatric and adult patients with congenital muscular Torticollis were injected with botulinum toxin type A. Only two patients had a modest benefit with improved range of motion. Early recognition and treatment of congenital muscular Torticollis is crucial to prevent subsequent contractures and other complications.
Abdusselam Hicazi - One of the best experts on this subject based on the ideXlab platform.
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atlantoaxial rotatory fixation subluxation revisited a computed tomographic analysis of acute Torticollis in pediatric patients
Spine, 2002Co-Authors: Abdusselam Hicazi, Emre Acaroglu, Ahmet Alanay, Muharrem Yazici, Adil SuratAbstract:Study Design. Cross-sectional clinical and radiologic study with a normal control group. Objectives. To compare the range of motion of the atiantoaxial joint in patients with acute torticos with those of normals as measured from computed tomography scans, to took for the existence of alantoaxial rotatory fixation in any position (subluxation or normal range of motion) in this group of patierns, and to clarity the definition of atiantoaxial rotatory subluxation by measuring the atiantodental interval and analyzing the location of the center of rotation in patients as well as normal controls. of Background Data. Although acute acquired Torticollis is usually termed atlantoaxial rotatory subluxation or atlantoaxial rotatory fixation, the radiologic definition of these conditions is not clear. Patients and Methods. Thirty-three consecutive pediatric patients (average age 8.5 years, range 2-18 years) with acute acquired torticoilis were analyzed. All were neurologically intact. Anteroposterior and lateral radiographs were obtained in all atiantoaxial computed tomography scans in 31 patients (dynamic in 23 arid static in 8). Twelve age-matched patients with normal cervical spines were also analyzed with dynamic computed tomography as normal controls. Atlantoaxial rotatory subluxation, atlantoaxial angle, center of rotation, and presence of atlantoaxial rotatory fixation were analyzed in each computed tomography. All patients were treated conservatively. Eight had control dynamic computed tomography scans at the end of the treatment. Results. All patients had atiantoaxial rotatory sublux ation 3 mm. On dynamic computed tomography, the range of atiantoaxial rotation was 30.4° (range 11-54°) toward deformity and 28.3° range 18-54°) away from deformity (P = 0.333). Atlantoaxial rotatory fixation was not noted in any of the patients. The same measurement for the normai control group was 28° (range 5-41°) (P = 0.770). Of the eight patients with repeat control computed tomography, The atiantoaxial rotatory subiuxation was 26° before and 29° after treatment (P = 0.691 to right and P = 0.199 to left). The center or rotation was with dens in 15 of 19 patients, outside dens in 2 of 19, and undetectable in 2 of 19. in the control group, it was within dens in 8 of 11, outside dens in 2 of 11 and undetectable in 1 of 11. All patients were symptom fres at the end of the conservative treatment. Conciustion. We could not demonstrate the presonce of atiantoaxial rotatory subiuxation of atiantoaxial rotatory fixation in our series of 33 consecutive pediatric patients with acute Torticollis, Our findings suggest that the existence of these phenomena are doubtful, although not associated vvith acute acquired Torticollis. Acute acquired Torticollis is not necasserily the sign of a pathologic condition of the atlantoaxial joint. Finally, it is probably not neuessary to obtein computed tomography scans (static or dynamic) in this group of patients at the th of presentation. atlantoaxial rotatory subluxation, atlamoaxial rotatory fixation, dynamic computed tomography.
Hyeshin Jeon - One of the best experts on this subject based on the ideXlab platform.
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Development of a questionnaire to identify ocular Torticollis
European Journal of Pediatrics, 2020Co-Authors: Jin A. Yoon, Heeyoung Choi, Yong Beom Shin, Hyeshin JeonAbstract:Ocular disease is one of the causes of abnormal head positioning. Conventionally, the behavioral characteristics of ocular Torticollis patients are different from those of non-ocular Torticollis patients, though research addressing the significance of this difference is yet limited. This prospective, cross-sectional study aims to develop a questionnaire based on the clinical features in children with abnormal head posture being ocularly assessed. Children aged ≥ 6 months who visited our rehabilitation medicine clinic with a chief complaint of abnormal head posture were included. Patients with apparent orthopedic and neurological diseases were excluded. A 10-item questionnaire was developed to analyze the behavioral characteristics of patients. The patients were divided into ocular and non-ocular Torticollis groups according to ophthalmologic examination results. Thirty-four and 13 patients were assigned to the non-ocular Torticollis and ocular Torticollis groups, respectively. Five questions were finally selected and the questionnaire was scored as the sum of the scores for the each questions (yes = 1 point, no = 0 point). The median (interquartile range) score of the ocular Torticollis group (3.0 (3.0–4.0)) was significantly higher than that of the non-ocular Torticollis group (2.0 (1.0–3.0); p = 0.000). Conclusion : Our parent-reported Torticollis assessment questionnaire may be useful for screening ocular Torticollis. What is known: • Ocular disease is one of the various causes of abnormal head positioning. • The behavioral characteristics of patients with ocular Torticollis are different from those of patients with non-ocular Torticollis; research on this matter is limited . What is new: • We delveloped a questionnaire to differentiate ocular and postural Torticollis and the score of the questionnaire was different between patients with or without ocular disease. • The questionnaire based on behavioral characteristics may help screening and determining the need of ophthalmic evaluation in patients with Torticollis.
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Development of a questionnaire to identify ocular Torticollis.
European journal of pediatrics, 2020Co-Authors: Jin A. Yoon, Heeyoung Choi, Yong Beom Shin, Hyeshin JeonAbstract:Ocular disease is one of the causes of abnormal head positioning. Conventionally, the behavioral characteristics of ocular Torticollis patients are different from those of non-ocular Torticollis patients, though research addressing the significance of this difference is yet limited. This prospective, cross-sectional study aims to develop a questionnaire based on the clinical features in children with abnormal head posture being ocularly assessed. Children aged ≥ 6 months who visited our rehabilitation medicine clinic with a chief complaint of abnormal head posture were included. Patients with apparent orthopedic and neurological diseases were excluded. A 10-item questionnaire was developed to analyze the behavioral characteristics of patients. The patients were divided into ocular and non-ocular Torticollis groups according to ophthalmologic examination results. Thirty-four and 13 patients were assigned to the non-ocular Torticollis and ocular Torticollis groups, respectively. Five questions were finally selected and the questionnaire was scored as the sum of the scores for the each questions (yes = 1 point, no = 0 point). The median (interquartile range) score of the ocular Torticollis group (3.0 (3.0–4.0)) was significantly higher than that of the non-ocular Torticollis group (2.0 (1.0–3.0); p = 0.000). Conclusion: Our parent-reported Torticollis assessment questionnaire may be useful for screening ocular Torticollis.
Abigail Collins - One of the best experts on this subject based on the ideXlab platform.
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botulinum toxin injection for congenital muscular Torticollis presenting in children and adults
Neurology, 2006Co-Authors: Abigail Collins, Joseph JankovicAbstract:Congenital muscular Torticollis may present in late childhood or adulthood with cervical contractures, limited range of motion, pain, and muscular hypertrophy. Seven of eight pediatric and adult patients with congenital muscular Torticollis were injected with botulinum toxin type A. Only two patients had a modest benefit with improved range of motion. Early recognition and treatment of congenital muscular Torticollis is crucial to prevent subsequent contractures and other complications.
