| 제목 |
Combined Congenital Muscular Torticollis and Congenital Vertebral Anomaly : A Case report |
| 소속 |
Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Department of Rehabilitation Medici1 |
| 저자 |
Dae-Hyun Jang1*†, Da-Ye Kim1, Dong-Woo Lee1, Jung-Ro Yoon 1 |
Case description
A one-month old female infant was suspected of having muscular torticollis and referred to our hospital from the local clinic. Physical examination showed mass on her right neck, which was consistent with congenital muscular torticollis. Ultrasonography of neck showed diffuse enlargement and hyperechoic findings on the affected side of sternocleidomastoid muscle (Fig. 1). To confirm an associated fracture, the clavicle x-ray was taken but there were no specific findings on the radiologist’s reading (Fig. 2). Although the clavicle x-ray was non-specific, cervical spine x-ray and 3-dimensional computed tomography were taken because the bony abnormalities were not completely ruled out. The images showed T1 butterfly vertebra (Fig 3).
Discussion
To the best of our knowledge, this is the first case report of congenital muscular torticollis and vertebral anomaly were accompanied. It is not clear either vertebral anomaly affects the occurrence of the congenital muscular torticollis or the two congenital defects occur just co-incidence. Although it is difficult to make sure the pathogenesis of the concurrent defects, vertebral anomaly should be considered even in patients diagnosed with congenital muscular torticollis.
|
|
Figure 1. Ultrasonography showed diffuse enlargement and hyperechoic findings in right sternocleidomastoid muscle.
Figure 2. Clavicle X-ray was read by radiologist as non-specific findings.
Figure 3. Cervical spine X-ray (A) and 3-dimensional computed tomography (B) showed T1 butterfly vertebra. Axial cervical CT showed an enlargement of SCM muscle (arrow) at C7 level (C) and a butterfly vertebra (arrow) at T1 level (D).
|
