Case Report
Female, Age 66 years, Cervical Dystonia / Torticollis
This 66-year-old female was involved in an auto accident 15 years prior in which she was side-swiped at approximately 40kph. Two years after the accident, she started to notice slight involuntary movements in her neck. Her symptoms gradually worsened and she was diagnosed with cervical dystonia / spasmodic torticollis. She described that her neck would involuntarily pull in different directions. Most frequently, her head pulled to the right and would cause her to have difficulty walking in a straight line. Besides pulling, she also reported neck tremors for the past 5 years. She tried multiple medications along with Botox injections but her symptoms persisted. Because she lived in Europe and was unable to find any effective treatment, she travelled to the United State to undergo an evaluation and treatment with Dr. Elster.
During her initial upper cervical chiropractic evaluation, an upper neck injury was discovered, which most likely stemmed from the auto accident 15 years prior. She stayed in the United States and underwent treatment for approximately 3 months and gradually reported improvement in her neck over the treatment period. The neck spasms, pulling, and tremors gradually subsided. Because her neck had stabilized, she was able to return to Europe.
I. Introduction
Cervical dystonia, also called spasmodic torticollis, is a painful condition in which your neck muscles contract involuntarily, causing your head to twist or turn to one side. Cervical dystonia can also cause your head to uncontrollably tilt forward or backward.
A rare disorder that can occur at any age, even infancy, cervical dystonia most often occurs in middle-aged people, women more than men. Symptoms generally begin gradually and then reach a point where they don't get substantially worse.
There is no cure for cervical dystonia. The disorder