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Skip Navigation LinksHome > October/December 2012 - Volume 34 - Issue 4 > Concussion or Benign Paroxysmal Torticollis?
Advanced Emergency Nursing Journal:
doi: 10.1097/TME.0b013e318271fd97
Cases of Note

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

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Abstract

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.

© 2012 Lippincott Williams & Wilkins, Inc.

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