- 期刊
Congenital Thoracic Scoliosis Presenting as Torticollis: A Case Report
以斜頸為表現的先天性胸椎側彎：病例報告
摘要
斜頸（torticollis）是指外觀上經常保持頭頸部傾向一邊，而臉轉向另一邊的姿勢。造成斜頸的原因很多，可以分為肌肉性或非肌肉性的成因，其中以肌肉性成因佔最多數。本篇報告一位8個月大的女嬰，出生時就有斜頸的症狀，原先診斷為肌肉性斜頸，經復健治療成效不佳，後來進一步檢查，發現是先天性胸椎側彎。先天性胸椎側彎患者的脊椎異常，在出生時就已存在，但側彎的彎度在出生時不易察覺，通常遲至患者學會坐立或站立時，脊椎的彎度才會被察覺，而本個案的胸椎側彎在出生時就以斜頸為表現。骨發性斜頸通常是以頸椎的異常較常見，本個案因先天性胸椎側彎而造成斜頸較罕見。一般而言，肌肉性斜頸經復健治療的成效大多十分顯著，如果發現斜頸的個案並沒有明顯的胸鎖乳突肌異常，或對復健治療的效果不顯著時，應將非肌肉性的成因，例如脊椎異常，列入斜頸的鑑別診斷。（台灣復健醫誌2012；40(2)：97 - 102）
並列摘要
Torticollis is a manifestation of various underlying conditions that refers to a specific positioning of the neck, such that the head is tilted to one side with the chin turned toward the opposite direction. Torticollis can be classified into muscular and non-muscular types. Congenital thoracic scoliosis is a rare cause of non-muscular torticollis. We report the case of an eight-month-old female infant presenting with persistent torticollis at birth. The initial impression was muscular torticollis. However, her symptom persisted after rehabilitation. After a series of surveys, congenital thoracic scoliosis, a very rare cause of non-muscular torticollis, was diagnosed. Most cases of muscular torticollis can be managed with good results. Non-muscular causes of torticollis, such as congenital vertebral anomalies, should be considered if torticollis is found with no evidence of a muscular origin or if the response to a rehabilitation program is poor. (Tw J Phys Med Rehabil 2012; 40(2): 97 - 102)