TORTICOLLIS SECONDARY TO A POSTERIOR FOSSA TUMOR: A CASE REPORT

Abstract

Aims: Torticollis secondary to a posterior fossa tumor is a rare condition that is mostly seen in pediatric patients. In this case report, it is aimed to present a 23-month-old male patient with a posterior fossa tumor that presents the symptoms of torticollis. Case Report: A 23-month-old male patient was admitted to the hospital with a history of a restricted range of motion in his neck and leaning to his left side while sitting. Physical examination of the patient revealed acute onset of atlantoaxial rotatory subluxation findings therefore, the initial diagnosis was Grisel’s Syndrome. Later, a cranial magnetic resonance imaging revealed a mass which was seen in the posterior fossa. The mass was considered as the cause of the torticollis. Conclusion: This case report shows the importance of the differential diagnosis of torticollis. Posterior fossa tumors should not be overlooked while searching for the cause of torticollis. Keywords: Torticollis, posterior fossa tumors, infratentorial neoplasms

Keywords

• Torticollis,posterior fossa tumors

References

1. 1. Choi HY, Son S, Jo HS et al. An infant with cerebellar tumor presenting with torticollis as the only initial symptom. Neurology Asia 2015;20(4):401-3.
2. 2. Kumandaş S, Per H, Gümüş H et al. Torticollis secondary to posterior fossa and cervical spinal cord tumors: report of five cases and literature review. Neurosurg Rev 2006;29(4):333-8.
3. 3. Ciftdemir M, Çopuroğlu C, Özcan M et al. Non-operative treatment in children and adolescent with atlantoaxial rotatory subluxation. Balkan Med J 2012;29(3):277-80.
4. 4. Aladağ Çiftdemir N, Eren T, Çiftdemir M. A rare cause of torticollis: Grisel syndrome. J Trop Peiatr 2018;64(3):245-8.
5. 5. Tomczak KK, Rosman NP. Torticollis. J Child Neurol 2013;28(3):365-78.
6. 6. Fąfara-Leś A, Kwiatkowski S, Kawecki Z et al. Torticollis as a first sign of posterior fossa and cervical spinal cord tumors in children. Childs Nerv Syst 2014;30(3):425-30.
7. 7. Turgut M, Akalan N, Bertan V et al. Acquired torticollis as the only presenting symptom in children with posterior fossa tumors. Childs Nerv Syst 1995;11(2):86-8.
8. 8.Ouattasi N, Chmiel M, Kerouiti ZE. Acyte febrile torticollis in youth: clinical investigation and current management. Pan Afr Med J 2015;21(1):163.