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NEUROLOGY 2006;67:1083-1085
© 2006 American Academy of Neurology
Brief Communications

Botulinum toxin injection for congenital muscular torticollis presenting in children and adults

Abigail Collins, MD and Joseph Jankovic, MD

From the Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX.

Address correspondence and reprint requests to Dr. Joseph Jankovic, Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 6550 Fannin, Suite 1801, Houston, TX 77030; e-mail: josephj{at}bcm.tmc.edu; Web site: www.jankovic.org.

Congenital muscular torticollis may present in late childhood or adulthood with cervical contractures, limited range of motion, pain, and muscular hypertrophy. Seven of eight pediatric and adult patients with congenital muscular torticollis were injected with botulinum toxin type A. Only two patients had a modest benefit with improved range of motion. Early recognition and treatment of congenital muscular torticollis is crucial to prevent subsequent contractures and other complications.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the September 26 issue to find the title link for this article.

Disclosure: The authors report no conflicts of interest.

Received December 5, 2005. Accepted in final form May 23, 2006.






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