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Torticollis 

 

 by: Joe Hing Kwok Chu    按 此 看 中 文

 

Simple torticollis should be differentiated from atlantoaxial subluxation.

atlantoaxial subluxation

High incidences among children of 2 - 12 years old.

 

Causes of atlantoaxial subluxation includes:

 

  • arthritic

    1. rheumatoid arthritis

    2. juvenile rheumatoid arthritis

    3. psoriatic arthritis

    4. ankylosing spondylitis (chronic inflammationof the spine and the sacroiliac joints)

    5. systemic lupus (SLE)

       

  • congenital

    1. Down syndrome (20%)

    2. Morquio disease

    3. atlanto-occipital fusion

    4. congenital absence/hypoplasia of dens (2/3 have h/o trauma)

       

  • infectious

    1. retropharyngeal abscess

       

  • traumatic

  •  

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    寰樞椎旋轉不全脫位

     

    該病的高發人群是2~12歲的兒童。

    症狀:

    手腳麻木﹐力量差,影響到呼吸,嚴重時會導致癱瘓。

     

     

    寰樞椎旋轉不全脫位發病原因﹕

     

    (1)關節炎

    風濕性關節炎

    兒童風濕性關節炎

    銀痟病關節炎

    類風濕性脊椎炎

    系統性紅斑狼瘡

     

    (2) 感染

    咽後壁膿腫

    牙齦炎

    鼻竇炎

    扁桃體炎

     

    (3) 先天性

    唐氏綜合症

    莫爾基奧氏病

    寰枕關節融合

    先天性無寰枕關節或發育不全

     

    (4) 創傷

     

    落枕

     

    外用熏洗药方﹕

    獨活﹐秦艽﹐防風﹐艾葉﹐透骨草﹐劉奇奴﹐蘇木﹐赤芍﹐紅花﹐穿山甲﹐威靈仙﹐烏梅﹐木瓜各 9 克。用水煎湯,趁熱熏洗患處。
     

     

    A manuscript... writing, translating and proofreading              in progress

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    Last update: Oct 24, 2008; 11:02 a.m. LAH