儿童异常头位致病原因的眼科、整形外科及神经病学的多学科研究

作     者：Nucci P Kushner B.J Serafino M Orzalesi N 陈立军 

作者机构：Kushner Department of Ophthalmology and Visual Sciences 2870UniversityAvenueMadisonWI 53705United States.Dr 

出 版 物：《世界核心医学期刊文摘（眼科学分册）》 (Digest of the World Core Medical Journals:Ophthalmology)

年 卷 期：2005年第1卷第12期

页      面：9-10页

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 100202[医学-儿科学] 10[医学] 

主　　题：整形外科 神经病学 多学科研究 先天性肌性斜颈 神经系统疾病 肌肉挛缩 上斜肌麻痹 神经科医生 病例研究 肌肉僵直 

摘      要：PURPOSE: To determine the relative frequency that abnormal head postures in children are caused by orthopedic, ophthalmologic, or neurologic disorders, respectively. DESIGN: A prospective, consecutive case series. METHODS: Children found to have an abnormal head posture on routine pediatric examination underwent an evaluation by a pediatric ophthalmologist, pediatric orthopedist, and pediatric neurologist. The study was conducted in northwestern Italy. RESULTS: In the 63 children evaluated, the cause of the abnormal head posture was orthopedic in 35, ocular in 25, and neurologic in 5. In 8 patients, no specific cause could be found. The most common orthopedic cause was congenital muscular torticollis, which accounted for 31 patients. The most common ocular cause was superior oblique muscle palsy, which accounted for 12 patients. In 2 patients neck muscle contracture suggested an orthopedic cause, however, the tight neck muscles were secondary to a head tilt caused by superior obliquemuscle palsy. CONCLUSIONS: When the cause of an abnormal head posture is not obvious, a multi-disciplinary approach including ophthalmologic, neurologic, and orthopedic specialists may be helpful.