Symptoms, types and causes of torticollis in children
Doctors distinguish congenital pathology and acquired. In the anamnesis of mothers, in whom children were diagnosed with this disease, the following pathologies are noted:
- severe toxicosis, water scarcity, threat of miscarriage;
- multiple pregnancies;
- malposition;
- severe childbirth, birth trauma.
There are several types of pathology.
- Congenital muscular torticollis in children is associated with a defect in the development of the nodal or trapezius muscle. In some cases this is exacerbated by the resulting birth trauma. However, muscular torticollis can appear at any age. Usually it accompanies other serious diseases.
- Neurogenic form develops as a result of intrauterine hypoxia and infection. It can also arise due to cerebral palsy, transferred diseases, for example, encephalitis, poliomyelitis.
- Bone and articular torticollis in infants appears due to impaired development of the cervical spine. Such pathology can appear as a consequence of tuberculosis, osteomyelitis, tumors.
- The dermo-desmogenous form is able to develop due to deep scars of the skin, burns, inflammation of the lymph nodes.
- Secondary torticollis , also called compensatory, can result from eye or ear pathology. It can develop even in practically healthy children with improper care, for example, if the baby is laid to sleep always on one side.
How to determine the torticle in a child knows a pediatrician. Most often, the muscular form of the disease is diagnosed. On examination, the doctor may pay attention to the following symptoms:
- the baby tilts his head to the shoulder, while the chin unfolds in the opposite direction;
- when trying to turn the child's head in the correct position, the baby crieves and displays anxiety;
- there is an asymmetry of the face;
- the foreleg is slightly elevated;
- narrowed the eye gap;
- if the crumb throws back the head or vice versa strongly presses to the chest, then the doctor may suspect a two-sided torticollis.