선천성 근성 사경의 조기진단을 위한 제언: 증례를 중심으로 −증례 보고−
Proposal for Early Diagnosis of Congenital Muscular Torticollis: Case-based Approach －Report of two cases－
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Congenital muscular torticollis (CMT) is called ‘pseudotumor of infancy’ because it is commonly discovered and diagnosed within 14∼28 days after birth as a sternomastoid tumor. We report two cases of CMT which presented as head tilt without any palpable neck mass immediately after birth but later developed into sternomastoid tumors. Serial ultrasonography confirmed increased echogenicities of the sternocleidomastoid muscles. We think that these findings are prodromal signs of sternomastoid tumors. Close physical examination by a neonatologist is crucial for an early diagnosis of CMT. Neonates with head tilt and increased ecogenicity of the sternocleidomastoid muscle on ultrasonography should be carefully followed up to see whether neck mass develops later. The authors suggest that CMT is not a static entity but rather one that progress to mass alteration after birth. (J Korean Acad Rehab Med 2010; 34: 591-594)
Abstract
Congenital muscular torticollis (CMT) is called ‘pseudotumor of infancy’ because it is commonly discovered and diagnosed within 14∼28 days after birth as a sternomastoid tumor. We report two cases of CMT which presented as head tilt without any palpable neck mass immediately after birth but later developed into sternomastoid tumors. Serial ultrasonography confirmed increased echogenicities of the sternocleidomastoid muscles. We think that these findings are prodromal signs of sternomastoid tumors. Close physical examination by a neonatologist is crucial for an early diagnosis of CMT. Neonates with head tilt and increased ecogenicity of the sternocleidomastoid muscle on ultrasonography should be carefully followed up to see whether neck mass develops later. The authors suggest that CMT is not a static entity but rather one that progress to mass alteration after birth. (J Korean Acad Rehab Med 2010; 34: 591-594)
참고문헌 (10)
- Kang SY, "Musculoskeletal disorders. In: KSoPRM. Pediatric rehabilitation", pp.378~382 (2006), Koonja
- Cheng JC, "Correlation of ultrasonographic imaging of congenital muscular torticollis with clinical assessment in infants", Ultrasound Med Biol, 26, pp.1237~1241 (2000)
- Kwon BS, "Musculoskeletal problems of the pediatric patients. In Rehabilitation medicine", pp.663~665 (2008), Koonja
- Dudkiewicz I, "Congenital muscular torticollis in infants: ultrasound-assisted diagnosis and evaluation", J Pediatr Orthop, 25, pp.812~814 (2005)
- Chan YL, "Ultrasonography of congenital muscular torticollis", Pediatr Radiol, 22, pp.356~360 (1992)
- Kim HS, "Ultrasonographic findings in torticollis", J Korean Acad Rehab Med, 21, pp.134~139 (1997)
- 김세주, "선천성 근성 사경의 흉쇄유양돌기근육 초음파 소견과 치료 결과", Annals of Rehabilitation Medicine, 25(4), pp.601~608 (2001), 대한재활의학회
- 임대건, "The Sonographic Correlation between The Sternocleidomastoid Muscle Thickness and the Prognosis of Congenital Muscular Torticollis", 대한영상의학회지, 60(2), pp.133~138 (2009), 대한영상의학회
- Cho IH, "Congenital anomalies of the upper extremity. In Pediatric orthopaedics", pp.243~246 (2009), Koonja
- Do TT, "Congenital muscular torticollis: current concepts and review of treatment", Curr Opin Pediatr, 18, pp.26~29 (2006)