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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In A Toddler To Move The Head?

my 3 yr old daughter can t turn her head or doesn t want to move it as it hurts her.Before this happens she says Mommy my head hurts and I ask her where and she points to the top of head.As soon as she says it,she turns on you.Meaning it looks like she s got a stiff neck,her left side of her face looks puffy,and her tongue looks like it s in the way of her speaking,like she can t talk right.We took her to the hospital and she was diagnosed with torticollis or muscle spasm .I did lots of research and I know that s not it.it lasts for a day and the next day she s fine.and then repeats out of the blue.she went with 3 weeks without any episode and a few days ago it came back.
Mon, 5 Jan 2015
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Pediatrician, Pulmonology 's  Response
Hi....by what you quote, this seems to be a recurrent torticollis in your kid. We need to rule out causes like - Congenital anomalies of the occipital condyles and upper cervical spine/ eye muscle weakness, Sandifer's syndrome resulting from gastroesophageal reflux, neural axis abnormalities, and benign paroxysmal torticollis/ atlantoaxial rotatory displacement resulting from trauma or oropharyngeal inflammation (Grisel's syndrome)/ Retropharyngeal abscesses and pyogenic cervical spondylitis.

Intermittent torticollis associated with headaches, vomiting, or neurologic symptoms may be caused by tumors of the posterior fossa. Benign and malignant neoplasms of the upper cervical spine are rare causes of torticollis in children.

All the above conditions require thorough neurological evaluation and an MRI spine and brain.
Regards - Dr. Sumanth
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What Causes Pain In A Toddler To Move The Head?

Hi....by what you quote, this seems to be a recurrent torticollis in your kid. We need to rule out causes like - Congenital anomalies of the occipital condyles and upper cervical spine/ eye muscle weakness, Sandifer s syndrome resulting from gastroesophageal reflux, neural axis abnormalities, and benign paroxysmal torticollis/ atlantoaxial rotatory displacement resulting from trauma or oropharyngeal inflammation (Grisel s syndrome)/ Retropharyngeal abscesses and pyogenic cervical spondylitis. Intermittent torticollis associated with headaches, vomiting, or neurologic symptoms may be caused by tumors of the posterior fossa. Benign and malignant neoplasms of the upper cervical spine are rare causes of torticollis in children. All the above conditions require thorough neurological evaluation and an MRI spine and brain. Regards - Dr. Sumanth