Tortícolis paroxístico benigno infantil TPBI

  1. José Ignacio Benito Orejas
  2. Alejandra Melero González
  3. Selma Vázquez Martín
Revista:
Revista ORL

ISSN: 2444-7986,  2444-7986

Año de publicación: 2015

Volumen: 6

Páginas: 185-192

Tipo: Artículo

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Otras publicaciones en: Revista ORL

Resumen

Benign paroxysmal torticollis of infancy (BPTI) is a rare and surprising benign disease, characterized by recurrent episodes of lateral tilt of the head, in young children. It's an uncommon pathology, possibly under-­diagnosed, but by the alarming that some of your symptoms can be, often lead to the practice of multiple explorations. With the purpose of spreading knowledge among us, we present 2 clinical cases. Clinical case: to illustrate this process we refer the clinic of 2 boys which began to develop the BPTI towards the age of 2 years. Its evolution was benign, the diagnosis was obtained after the negativity of the complementary examinations and both detect the common history of migraines in the family. Discussion: The diagnosis of the BPTI is clinical, but the presence of additional symptoms, such as vomiting, pallor, eye movements;; and her low frequency, tend to increase the diagnostic difficulties. Its etiology is discussed, but the pathophysiology is supposed that you linked childhood periodic syndromes, forming part of the migraine equivalents. Conclusion: We believe that knowing this pathology is the best way to diagnose it, because its management is mainly clinical. Although there is no treatment for attacks or for their prevention, we have to reassure parents, explaining the benign and self-­limiting character of the process, despite its recurrence.

Referencias bibliográficas

  • Bravo-Mata M, Pérez-Muñuzuri A, Martinón­Torres F, Monasterios Corral L, Alonso-Martín A. Tortícolis persistente. An Esp Pediatr. 2000; 53:161-2.
  • Deonna T, Martin D. Benign paroxysmal torticollis in infancy. Arch Dis Child. 1981; 56:956­9.
  • Drigo P, Carli G, Laverda AM. Benign paroxysmal torticollis of infancy. Brain Dev. 2000; 22:169-72.
  • Ducros A, Denier C, Joutel A, Cecillon M, Lescoat C, Vahedi K, et al. The clinical spectrum of familial hemiplegic migraine associated with mutations in a neuronal calcium channel. N Engl J Med. 2001; 345:17-24.
  • Eviatar L. Benign paroxysmal torticollis. Pediatr neurol. 1994; 11:72.
  • Fernández­Díaz M, Menéndez­Arias C, Díaz-Díaz E, Martínez­Mengual L, Otero-Martínez B, Solís­Sánchez G. Tortícolis paroxístico benigno del lactante. Rev Esp Pediatr. 2005; 61:148­9.
  • Giffin NJ, Benton S, Goadsby PJ. Benign paroxysmal torticollis of infancy: four new cases and linkage to CACNA1A mutation. Dev Med Child Neurol. 2002; 44:490-3.
  • Guerrero-Vázquez J, de Paz-Aparicio P, Luengo-Casasola JL, Cazenave­ Bernal A, Garcés-Ramos A, Valera­Pascual MT, et al. Tortícolis paroxístico benigno infantil. A propósito de tres casos. An Esp Pediatr. 1988; 29:149­52.
  • Hanukoglu A, Somekh E, Fried D. Benign paroxysmal torticollis in infancy. Clin Pediatr (Phila). 1984; 23:272­4.
  • Macias CG, Gan V. Acquired torticollis in children. UpToDate 2014. Last updated: Aug 07, 2013. Disponible en: URL: http://www.uptodate.com/contents/acquired-torticollis-in-children.
  • Nikolic V, Banic M. Paroxysmal torticollis in the developmental age. Med Pregl. 1989; 42:99-101.
  • Oliván-­Gonzalvo G. Tortícolis paroxístico benigno infantil. An Esp Pediatr. 1996; 44:615-6.
  • Rosman NP, Douglass LM, Sharif UM, Paolini J. The neurology of benign paroxysmal torticollis of infancy: report of 10 new cases and review of the literature. J Child Neurol. 2009; 24:155-160.
  • Sanner G, Bergstrom B. Benign paroxysmal torticollis in infancy. Acta Pediatr Scand. 1979; 68:219-23.
  • Scagni P, Morello M, Pagliero R, Pecco P. Benign paroxysmal torticollis of infancy. A case report. Minerva Pediatr. 2006; 58:499-501.
  • Snyder CH. Paroxysmal torticollis in infancy. A possible form of labyrinthitis. Am J Dis Child. 1969; 117:458-60.
  • Teixeira KC, Montenegro MA, Guerreiro MM. Migraine equivalents in childhood. J Child Neurol. 2014; 29:1366-9.
  • The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004; 24(suppl 1):9-160.
  • Vila-Pueyo M, Gené GG, Flotats-Bastardes M, Elorza X, Sintas C, Valverde MA, et al. A loss of function CACNA1A mutation causing benign paroxismal torticollis of infancy. Eur J Paediatr Neurol. 2014; 18:430-3.
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