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Epilogue
A persistent torticollis
  1. Chiara Rodaro1,
  2. Federica Corona2,
  3. Viola Ceconi2,
  4. Andrea Taddio2,3,
  5. Elisabetta Cattaruzzi3,
  6. Giorgio Cozzi4,
  7. Francesco Baldo3,
  8. Egidio Barbi3
  1. 1Clinical Department of Medical, Surgical and Health Science, University of Trieste, Trieste, Italy
  2. 2University of Trieste, Trieste, Italy
  3. 3Institute for Maternal and Child Health—IRCCS “Burlo Garofolo”, Trieste, Italy
  4. 4Emergency Department, Institute for Maternal and Child Health—IRCCS Burlo Garofolo, Trieste, Italy
  1. Correspondence to Dr Chiara Rodaro; rodaro.chiara{at}gmail.com

https://doi.org/10.1136/archdischild-2024-327571

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    Patient history

    A 13-month-old girl presented with acute torticollis which progressively worsened over 9 days. She held her neck in a flexed position, turned to the left. There was no history of trauma, fever or any other symptoms.

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    Blood tests showed an increased CRP of 12.1 mg/L and ESR of 75 mm/hour, but normal FBC, electrolytes and creatinine. An X-ray of the cervical spine was normal. The neck ultrasound showed small bilateral posterior cervical lymph nodes. An MRI was performed (see figures 1 and 2).

    Figure 1

    Coronal T2-weighted fat-suppressed MRI image.

    Figure 2

    Sagittal STIR MRI image.

    Question 1

    What does the MRI show?

    1. Hyperintensity at the level of C3, C4 and C5 bodies

    2. Hyperintensity of the C1–C2 joint

    3. Mass of the fourth ventricle

    4. Rotatory subluxation of …

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    Footnotes

    • Contributors CR wrote the first draft of the manuscript. VC, FB and GC clinically followed the patient. EC provided the MRI scan. CR, FC, AT, EB made revisions to the manuscript. EB is the guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.