Duane retraction syndrome associated with variant of Rubinstein-Taybi syndrome.

Purpose: This case report describes a child with Duane retraction syndrome (DRS) associated with genetically confirmed Type II Rubinstein-Taybi syndrome (RTS). The purpose is to better understand the ocular manifestations of RTS and further explore the possibility that the neurodevelopmental genetic abnormality in RTS may sporadically impact ocular motor nerves.

Observations: A 2-year-old male with a history of Type II RTS associated with a de novo variant of presented for a comprehensive eye examination, which revealed a left esotropia of 20 prism diopters (PD) in primary gaze with a significant left face turn, mild globe retraction on adduction in the left eye, and abduction limitation consistent with Type 1 DRS in the left eye.

Torticollis as an early manifestation of basilar invagination in a paediatric patient.

This case report describes the clinical journey of a male patient in early childhood with developmental delay, failure to thrive, worsening right-sided head tilt torticollis and regression of motor skills with spasticity of the lower limbs. The case was complex due to the early onset and gradually worsening symptoms, including a decline in established motor milestones. Genetic testing to investigate the delayed neurodevelopment revealed a variant that did not fully explain the patient's phenotype.

Treatment of Peritonsillar Abscess in Children: A Systematic Review.

This review aims to analyze the treatment options for peritonsillar abscess (PTA) in children. We searched PubMed and EMBASE for studies regarding the treatment of PTA in children. Relevant studies were reviewed based on systematic review (PRISMA) guidelines.

Torticollis in incomplete Kawasaki disease: a case of atlantoaxial rotatory fixation.

Various respiratory, musculoskeletal, gastrointestinal, neurological, and urinary complications have been reported in Kawasaki disease. Here, we describe a rare case of atlantoaxial rotatory fixation (AARF) associated with incomplete Kawasaki disease. The case is of a healthy 4-year-old Japanese boy who had a high-grade fever, lymphadenopathy, and torticollis diagnosed with incomplete Kawasaki disease.

Predictors of Length of Physical Therapy Care for Infants With Congenital Torticollis.

Purpose: This study explored whether the type of torticollis, amount of tummy time or container time, participant age at examination, and Alberta Infant Motor Scales score influence the length of physical therapy care for infants with torticollis.

Methods: Data for 149 participants were extracted from medical records for infants with torticollis who received care between November 2018 and November 2021.

Results: Statistically significant correlations were found between length of care (LOC) and torticollis type, age at examination, active range of motion rotation deficit, and passive range of motion rotation deficit.

Avian reovirus infection in turkeys with neurological disease in Alberta.

Avian reoviruses (ARVs) are ubiquitous and play a role in diseases affecting various organs in chickens and turkeys. In recent years, tenosynovitis and lameness emerged as the most frequently reported clinical conditions. In this report, we describe a case of neurological disease associated with ARV infection in 4-week-old turkeys in Alberta.

Recurrent cervicothoracic spontaneous epidural hematoma in a toddler.

Background: Recurrent cases of spontaneous spinal epidural hematoma are rare, and there are no reports of spontaneous resolution and recurrence in toddlers.

Case Presentation: We present a case of a toddler with a cervical spontaneous spinal epidural hematoma, characterized by three episodes of sudden-onset transient torticollis with subsequent natural recovery. The patient was referred to our hospital after the second episode, during which symptoms were already improving.

Early pain findings in infants with brachial plexus birth injury: Relationship with function and comorbidities, and cut-off point for fractures.

Background: Infants with birth brachial plexus injury (BPBI) may have various comorbidities such as fractures, torticollis, plagiocephaly, central nervous system disorders. In infants with BPBI, it is important to identify fractures, which are common among comorbidities, objectively assess pain, and investigate factors that may be associated with pain.

Aim: The aim of this study is to determine the pain level, comorbidities, and motor function in infants with BPBI and to examine the relationship between these parameters.

CONTRIBUTION OF PHYSIOTHERAPY IN PSYCHIATRY: CASE OF A PATIENT SUFFERING OF DYSTONIA DUE TO ANTIPSYCHOTICS AT THE SAINT JOHN OF GOD MENTALHEALTH CENTRE IN LOMÉ-TOGO.

Introduction: Antipsychotic-induced dystonia is a neurological side-effect and can be very disabling. Treatment is multidisciplinary, including physiotherapy.

Objective: The aim was to show the contribution of physiotherapy in the management of people suffering from dystonia secondary to antipsychotics.

CEPHALIC TETANUS: A CASE REPORT AND REVIEW OF LITERATURE.

Summary/introduction: Cephalic tetanus (CT) constitutes only 1-3% of total reported tetanus cases. It is marked by flaccid paralysis of one or more cranial nerves (CN) with or without spasticity, typically following craniofacial injuries. The facial nerve is the most frequently paralyzed.

Recalcitrant Torticollis: A Formidable Treatment Challenge.

Introduction: There are few evidence-based practice guidelines for recalcitrant torticollis (RT), defined as torticollis that persists past 1 year of age despite conservative therapy. Available evidence recommends a combination of physical therapy (PT), occupational therapy (OT), botulinum toxin injection (BTI), and in the most severe cases, surgical release.

Methods: This is a single-center, retrospective study conducted with Institutional Review Board approval.

Focused Ultrasound Pallidothalamic Tractotomy in Cervical Dystonia: A Pilot Study.

Background: No clinical trials have been reported on the use of focused ultrasound (FUS) for treating cervical dystonia.

Objective: We aimed to confirm the efficacy and safety of FUS pallidothalamic tractotomy for cervical dystonia.

Methods: This was a prospective, open-label, non-controlled pilot study.

The Hellenic surgical School for treatment of neuralgias and dystonias as presented in 19th-20th centuries in Greece.

Background: This article examines the surgical techniques used for the treatment of neuralgia and dystonia in Greece during the late 19th to the middle of the twentieth century. It emphasizes on the Greek contribution to neurosurgery.

Methods: The aim of this study is achieved by examining unpublished archives as well as historical documents collected from both the National Library of Greece and the Library of the Hellenic Parliament.

Physiotherapy Intervention for a 1.5-Year-Old Child With Communicating Hydrocephalus and Developmental Delay Secondary to Torticollis: A Case Report.

This report presents the case of a 1.5-year-old female child diagnosed with communicating hydrocephalus and developmental delay, who received physical therapy as part of her treatment. Hydrocephalus refers to the formation of excess fluid in the deep brain cavities.

SYNCHRONIZE: Real-World Retrospective Safety Analysis of Patients Treated with OnabotulinumtoxinA for More than One Therapeutic Indication.

OnabotulinumtoxinA (onabotA) is approved in the US for 12 therapeutic indications. Real-world data on onabotA multi-indication use are limited, often leading to delayed or reduced treatment. This study provides real-world evidence on the safety of onabotA when treating multiple indications concomitantly.

External Factors Modulating Pain and Pain-Related Functional Impairment in Cervical Dystonia.

Background: Little is known about factors modulating pain and pain-related functional impairment in isolated cervical dystonia (CD).

Objective: The aim was to assess the prevalence and interrelationship between pain-modulating factors and pain-related determinants of functional impairment and quality of life in CD.

Methods: We analyzed pain-aggravating and pain-relieving external factors, the degree of pain-related functional impact on routine activities, and the relationship between these and pain severity, using cross-sectional data collected using the Pain in Dystonia Scale (PIDS) from 85 participants with CD.

Effect of Pediatric Physical Therapy Interventions on Congenital Muscular Torticollis: A Systematic Review.

This review explores the current pediatric physiotherapy approaches for treating infants with congenital muscular torticollis (CMT). CMT is a common musculoskeletal condition characterized by an unequal position of the neck due to unilateral shortening of the sternocleidomastoid muscle. Our comprehensive literature search assessed articles published between 2014 and March 2024.