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Journal of the Korean Academy of Rehabilitation Medicine 2010;34(5):591-594.
Proposal for Early Diagnosis of Congenital Muscular Torticollis: Case-based Approach: Report of two cases.
Chung, Chin Wook , Chang, Yun Sil , Kim, Ji Hye , Kwon, Jeong Yi
1Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. jeongyi.kwon@samsung.com
2Department of Diagnostic Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
3Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
선천성 근성 사경의 조기진단을 위한 제언: 증례를 중심으로 −증례 보고−
정진욱, 장윤실1, 김지혜2, 권정이
성균관대학교 의과대학 삼성서울병원 재활의학교실, 1소아청소년학교실, 2영상의학교실
Abstract
Congenital muscular torticollis (CMT) is called 'pseudotumor of infancy' because it is commonly discovered and diagnosed within 14∼28 days after birth as a sternomastoid tumor. We report two cases of CMT which presented as head tilt without any palpable neck mass immediately after birth but later developed into sternomastoid tumors. Serial ultrasonography confirmed increased echogenicities of the sternocleidomastoid muscles. We think that these findings are prodromal signs of sternomastoid tumors. Close physical examination by a neonatologist is crucial for an early diagnosis of CMT. Neonates with head tilt and increased ecogenicity of the sternocleidomastoid muscle on ultrasonography should be carefully followed up to see whether neck mass develops later. The authors suggest that CMT is not a static entity but rather one that progress to mass alteration after birth. (J Korean Acad Rehab Med 2010; 34: 591-594)
Key Words: Torticollis, Sternomastoid tumor, Ultrasonography


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