Torticollis: Not always the usual suspects

Beesan Shalabi Agha, Chelsea Tehan, Joseph Perno

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


We describe the clinical presentation, radiographic findings, management, and outcome of nontraumatic spinal epidural hematoma in a 10-month-old male infant with severe hemophilia (<1% activity). This patient presented with torticollis, and the differential diagnosis included intramuscular hemorrhage, retropharyngeal abscess, muscle spasm, and epidural hematoma. A computed tomography scan revealed extensive spinal epidural hematoma from C1-L4. Because of prompt diagnosis, this infant was able to be managed conservatively with factor VIII and did not require surgical intervention. Unlike other cases previously published, this case demonstrates how prompt recognition, diagnosis, and treatment can prevent the development of neurological deficits.

Original languageEnglish (US)
Pages (from-to)32-33
Number of pages2
JournalPediatric emergency care
Issue number1
StatePublished - Jan 2011
Externally publishedYes


  • factor VIII
  • Severe hemophilia
  • spinal epidural hematoma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


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