You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Concussion or Benign Paroxysmal Torticollis?

Reynolds, Ellen MSN, CRNP, CPNP PC/AC

Section Editor(s): Campo, Theresa M. DNP, APN, NP-C, CEN; Column Editor

Advanced Emergency Nursing Journal:
doi: 10.1097/TME.0b013e318271fd97
Cases of Note

This case report describes a patient who presented to the trauma service on 3 occasions over the course of 2 years, each time with symptoms typical of concussion (e.g., crying, change in mentation, and vomiting). On more in-depth evaluation, it was discovered that the child had torticollis, pallor, and brief dizziness or vertigo with each episode. Benign paroxysmal torticollis is a periodic, paroxysmal syndrome that may be mistaken for the more common concussion. In addition to illustrating a uniquely pediatric neurological syndrome, this case demonstrates the importance of taking a careful history and considering a full range of differential diagnoses when evaluating every patient, even those with seemingly routine injuries.

Author Information

Benedum Pediatric Trauma Program, Children's Hospital of Pittsburgh of UPMC; Robert Morris University; and University of Pittsburgh School of Nursing, Pittsburgh, PA.

Corresponding Author: Ellen A. Reynolds, MSN, CRNP, CPNP PC/AC, Benedum Pediatric Trauma Program, Children's Hospital of Pittsburgh of UPMC, 416 Tierra Place, Pittsburgh, PA 15237 (

Disclosure: The author reports no conflicts of interest.

© 2012 Lippincott Williams & Wilkins, Inc.