50 year old Male patient with complains of involuntary rotation of cervical spine towards left since 9 months. Diagnosed as cervical spondylosis. Assessment shows weakness of trapezius and ipsilateral SCM. Even extensor weakness is there. No tingling or radiculopathy
Hello Dr. Aditya hope u r doing well. As u posted I rd ur case it is interesting can u please tell me that the contraction is sustained type or it continuous type. if the contraction.is continuous type it can be balismic disorder or can be Huntington disease with vitiligo.Kindly consult with a neurologist. what are the other finding if u have please post that.
This problem could be related to cord compression as spinal root of accessory emerges from upper cervical segments do CT and look for froin syndrome try decompressing may be osteophyte from vertebra could compress the cord
Torticolitis, it's neck muscles spasm, advised anti spasmodics.
Pls.Order an MRI CS ...To get a clear picture*This is indeed interesting...We should request..Neuro and Spine Surgeons for their opinion and guidance...
Cervical dystonia, laterocollis. Needs Botulinum toxin inj intermittently
must b cervical dystonia due to upper motor neurone affection. refer for ct and mri.find out history I mean proper history.
Either it is extrapyramidal effect of drug
sir.. its chronic wry neck...definitely Rt side muscles will be tight like scm,traps and scalene muscles. it may be because of some injury, postural and occupational. This condition is treated with stretching to release tightness of rt side muscles, strengthening exercises to improve muscular balance of Left side, and handling to stimulate symmetry. A TOT Collar is sometimes applied.
investigate for multiple sclerosis as there is extensor weakness
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