ADULT PRESENTATION OF CONGENITAL MUSCULAR TORTICOLLIS

We describe two patients who first presented with congenital muscular torticollis (CMT) at ages of 32 and 47 years, respectively. Characteri stic features included fixed torticollis since neonatal period, ineffe ctiveness of sensory tricks, cord-like consistency particularly of the clavicular portion of the sternocleidomastoid muscle on palpation due to fibrosis that can be visialized on magnetic resonance imaging. Car eful history taking and documentation of abnormal head postures on chi ldhood photographs may point to CMT that is to be included in the diff erential diagnosis of non-dystonic torticollis in adults. There is no indication for local injections of Botulinum toxin in this condition.