Spasmodic Torticollis

WHAT YOU SHOULD KNOW:

• Spasmodic (spaz-MOD-ik) torticollis (tor-ti-KOL-is), also called cervical dystonia, is a condition where the neck muscles contract (tighten) abnormally. This contracting causes the neck to twist and the head to tilt to one side, forwards, or backwards. No one knows exactly what causes spasmodic torticollis. This condition may happen after an injury or a trauma. It may also be caused by a disorder affecting a system in the body. The body system may include the muscles and bones, spinal cord, brain, eyes, or the vestibular (balance) system. The risk of having torticollis is higher if it is present in a close family member.
  
  
• Signs and symptoms of spasmodic torticollis may include muscle spasms, jerks, or tremors. You may also have pain in your neck or shoulder. Your neck may be larger than usual or the neck muscles may be unequal. A detailed health history and physical exam are needed to diagnose spasmodic torticollis. Tests, such as computerized tomography (CT) scan, magnetic resonance imaging (MRI), or x-rays may also be done. Treatment may include surgery and medicines that help decrease the muscle spasms. With treatment and care, symptoms of spasmodic torticollis may be relieved, and your quality of life improved.

INSTRUCTIONS:

Medicines:

• Keep a list of your medicines: Keep a written list of the medicines you take, the amounts, and when and why you take them. Bring the list of your medicines or the pill bottles when you see your caregivers. Do not take any medicines, over-the-counter drugs, vitamins, herbs, or food supplements without first talking to caregivers.
  
  
• Take your medicine as directed: Always take your medicine as directed by caregivers. Call your caregiver if you think your medicines are not helping or if you feel you are having side effects. Do not quit taking your medicines until you discuss it with your caregiver.

Ask your caregiver when to return for a follow-up visit. Keep all appointments. Write down any questions you may have. This way you will remember to ask these questions during your next visit.

Learn ways to manage stress. Deep breathing, meditation, and listening to music may help you cope with stressful events. Talk to your caregiver about other ways to manage stress.

CONTACT A CAREGIVER IF:

• You have a fever (increased body temperature).
  
  
• You have swelling in your neck area that is worse or does not go away.
  
  
• You have questions or concerns about your condition, medicines, or care.

SEEK CARE IMMEDIATELY IF:

• You feel confused, or sleepy most of the time.
  
  
• You have increased pain on your neck or shoulder.
  
  
• You have trouble breathing all of a sudden.
  
  
• You have trouble moving your arms or legs.
  
  
• Your arms or legs feel numb, or you cannot feel them.

Copyright © 2008 Thomson Healthcare Inc. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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