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Pediatric neurology · Mar 2002
Case ReportsPseudotumor cerebri manifesting as stiff neck and torticollis.
- Rachel Straussberg, Liora Harel, and Jacob Amir.
- Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
- Pediatr. Neurol. 2002 Mar 1; 26 (3): 225-7.
AbstractStiff neck and torticollis are significant signs of neurologic disease. Nuchal rigidity is often associated with meningitis, subarachnoid hemorrhage, and posterior fossa tumor. Torticollis may be encountered in inflammatory disorders, such as cervical lymphadenitis, or it can be a sign of spinal cord syrinx or of central nervous system neoplasm. We report on three prepubertal children in whom stiff neck and torticollis were the presenting signs of pseudotumor cerebri. In all, the removal of 6-7 mL of cerebrospinal fluid led to prompt relief of symptoms and signs. We suggest that in the presence of unexplained stiff neck or torticollis in children, the optic discs should be examined to exclude pseudotumor cerebri.
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