Case: 5 yo F with sudden onset of R sided neck pain, no PMHx
Presentation: VS NL, no report of trauma, well appearing child crying, head twisted with chin pointing toward L shoulder
Diagnosis: Torticollis. Spasm of the sternocleidmastoid common in children. On the differential is retropharyngeal abscess in patients with sore throat and fever and alantoaxial dissociation in patients with neck trauma or a history of Down Syndrome or connective tissue disorder.
Management: XR’s if concerned for alantoaxial dissociation. Otherwise Diazepam 0.1mg/kg PO x 1 and Ibuprofen 10mg/kg PO x 1. Discharge home with ibuprofen.
