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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
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rheumatoid arthritis
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juvenile rheumatoid arthritis
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psoriatic arthritis
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ankylosing spondylitis (chronic inflammationof the spine and the
sacroiliac joints)
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systemic lupus (SLE)
congenital
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Down syndrome (20%)
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Morquio disease
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atlanto-occipital fusion
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congenital absence/hypoplasia of dens (2/3 have h/o trauma)
infectious
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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。
Last update: Oct 24, 2008;
11:02 a.m. LAH
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