Özet:

TORTICOLLIS AND ALTERNAL CIVAL DISEASIONS Introduction: TORTICOLLIS is a clinical manifestation characterized by the inclination of the head to the side associated with the rotational deformity of the neck. As it can occur congenitally, many underlying simple or serious diseases can cause torticolysis. Our objective in this study is to reveal the congenital and edental distribution of patients diagnosed with torticollis and to identify the underlying causes, especially in patients diagnosed with torticollis, and to identify the alarming symptoms related to the severity of the incident. Tools and Methods: Between January 2011-November 2018 the hospital examined the hospital records of child patients who applied to the general pediatric clinics and diagnosed with torticollis. Patients’ demographic data, application symptoms, physical examination findings, laboratory and radiological data were recorded. Results: There were a total of 532 patients applying for the cause of torticollis. 44.3 percent of these patients (n=232) were in the intestinal torticollis group. The most common causes of edental torticollis were infections (29.3%) and postural torticollis (13.2%). In nine patients, torticollis developed due to more rare causes. These rare causes were, in order, Grisel syndrome (n=5), discomfort (n=2), Sandifer syndrome (related to citrulinemia) (n=1) and leukemia (n=1). It was found that vomiting (OR:23,1[13,6-42,1]), fever (OR:5,1 [2,6-7,8]) and consumption difficulties (OR: 19,6 [7,2-32,5]) symptoms were statistically significant risk factors in determining the severity of the disease. Discussions: Tortikollis can come to us as a result of many underlying diseases. The presence of symptoms of vomiting, fever and difficulty sweating may be a stimulant for a serious disease underlying in children who apply to torticollis. Detailed history and careful systematic examination will make a significant contribution to the prognosis of congenital and edental torticolysis.

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