Objective This study aimed to assess the spectrum of pathologies responsible for torticollis in children presenting to the emergency department and to evaluate the associated symptoms to determine clinical red flags for hospitalization. Methods This was a historical retrospective cohort study. Medical records of children evaluated in our emergency department for torticollis from 2008 to 2013 were reviewed. Results Among 392 identified patients, 61% had postural torticollis,19.4% infection related, 16.3% traumatic, and 3.5% other. Twenty-five patients (6.4%) were hospitalized. Four variables were strongly and independently related to the severe outcome: fever, sore throat, headache, and age. Conclusions The association of 2 or 3 of these 4 features carried a risk of 32% and 58%, respectively, of having a severe illness.
- Restricted neck complaints
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Emergency Medicine