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| 題 名 | Congenital Thoracic Scoliosis Presenting as Torticollis: A Case Report=以斜頸為表現的先天性胸椎側彎:病例報告 |
|---|---|
| 作 者 | 周姿儀; 楊佩瑜; 孟乃欣; | 書刊名 | 臺灣復健醫學雜誌 |
| 卷 期 | 40:2 2012.06[民101.06] |
| 頁 次 | 頁97-102 |
| 分類號 | 416.61 |
| 關鍵詞 | 斜頸症; 先天性脊柱側彎; Torticollis; Congenital scoliosis; |
| 語 文 | 英文(English) |
| 中文摘要 | 斜頸(torticollis)是指外觀上經常保持頭頸部傾向一邊,而臉轉向另一邊的姿勢。造成斜頸的原因很多,可以分為肌肉性或非肌肉性的成因,其中以肌肉性成因佔最多數。本篇報告一位8個月大的女嬰,出生時就有斜頸的症狀,原先診斷為肌肉性斜頸,經復健治療成效不佳,後來進一步檢查,發現是先天性胸椎側彎。先天性胸椎側彎患者的脊椎異常,在出生時就已存在,但側彎的彎度在出生時不易察覺,通常遲至患者學會坐立或站立時,脊椎的彎度才會被察覺,而本個案的胸椎側彎在出生時就以斜頸為表現。骨發性斜頸通常是以頸椎的異常較常見,本個案因先天性胸椎側彎而造成斜頸較罕見。一般而言,肌肉性斜頸經復健治療的成效大多十分顯著,如果發現斜頸的個案並沒有明顯的胸鎖乳突肌異常,或對復健治療的效果不顯著時,應將非肌肉性的成因,例如脊椎異常,列入斜頸的鑑別診斷。 |
| 英文摘要 | Torticollis is a manifestation of various underlying conditions that refers to a specific positioning of the neck, such that the head is tilted to one side with the chin turned toward the opposite direction. Torticollis can be classified into muscular and non-muscular types. Congenital thoracic scoliosis is a rare cause of non-muscular torticollis. We report the case of an eight-month-old female infant presenting with persistent torticollis at birth. The initial impression was muscular torticollis. However, her symptom persisted after rehabilitation. After a series of surveys, congenital thoracic scoliosis, a very rare cause of non-muscular torticollis, was diagnosed. Most cases of muscular torticollis can be managed with good results. Non-muscular causes of torticollis, such as congenital vertebral anomalies, should be considered if torticollis is found with no evidence of a muscular origin or if the response to a rehabilitation program is poor. |
本系統中英文摘要資訊取自各篇刊載內容。