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Head Tilt
Leo Leonidas MD, FAAP
WARNING, WARNING, WARNING; This section is for my
Tufts University medical students. If you are a
"worrier" type or a very anxious parent, please talk
to your clinician about your child's problem or
symptoms, rather than reading this differential
diagnosis.
**
CAUSES OF TORTICOLIS OR HEAD TILT
Infections
Retropharyngeal abscess
Kawasaki Disease
Cervical Adenopathy (enlarged lymph of the neck)
Osteomylitis (bone infection)
Pneumonia
Pharyngitis (throat infection)
TB (tuberculosis)
URI
Tumors
Posterior fossa tumor
Langerhans eosinophilic
granuloma
Osteoid osteoma
Intraspinal tumor
Trauma
Fracture
Dislocation
Subluxation
Neurologic
Neuritis of spinal accessory
muscle
Wilson's disease
Polio
Huntington Chorea
Kernicterus
Dystonia Musculorum
deformans
Congenital
Muscular origin
Vertebral anomaly
Intrauterine constraint
Ocular Torticollis
Superior Oblique Muscle
weakness
Congenital nystagmus
Other Causes
GERD (gastroesophageal reflux disease)
Drug induced
Juvenile Rheumatoid Arthritis
Myositis, fibromyositis
Fibrodysplasia ossificans
Spasmus nutans
Paroxysmal torticollis
Ligamentous laxity
Functional torticollis
Calcification of Intervertebral disks
Reference:
Signs & Symptoms In Pediatrics
2nd Edition, page 265
Tunnessen, Jr
Some serious causes of Head Tilt are: retropharyngeal abscess, brain tumor,
osteomylistis of the cervical bone, Kawasaki disease, meningitis.
Leo Leonidas, MD, FAAP
Belly Pain Air Leaks From Lungs Acute Crying Back Pain Bed Wetting Big Lymph Node Big Spleen Blood in Urine Chronic Diarrhea Chest Pain Cough Coughing Up Blood Constipation Droopy Eye Enlarged Glands Eye Swelling Excessive Thrist Facial Paralysis Fainting Spell Feeding Problem GI Bleeding Headache Head Tilt Hives High ESR Hoarseness Joint Pain Limp Leg Pain Muscle Weakness Noisy Breathing Nose Bleeding Nose Obstruction Pyuria Recurrent Infection Red Green Urine Ringing in the Ears Scrotal Swelling Seizures Stiff Neck Swelling of the Parotic Gland Toe Walking Toeing In Toeing Out Unequal Pupils Vomiting Wheezing
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