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Torticollis in infants with neonatal abstinence syndrome
Journal of Perinatology ( IF 2.9 ) Pub Date : 2020-01-06 , DOI: 10.1038/s41372-019-0580-x
Craig V Towers 1 , Amber Knapper 2 , Mark Gaylord 2 , Tara Burnette 2 , Ryan Neal 1 , Mark Hennessy 1
Affiliation  

Objective

To report the incidence of torticollis diagnosed in infants treated for neonatal abstinence syndrome (NAS) and compare neonates with and without torticollis.

Study design

This prospective cohort study reports on infants examined at 1–4 months of age. Numerous obstetrical/newborn factors and other drugs used during gestation were compared.

Results

Of 501 neonates treated for NAS, 421 (84%) were seen for follow-up. Of these, 105 (24.9%) were diagnosed with torticollis. The only significant obstetrical/newborn factor identified was a lower rate if the parents were the primary caregiver after hospital discharge. Of the 105 cases, 88 (84%) were right-sided and 17 (16%) were left-sided.

Conclusions

These data demonstrate that torticollis is a common diagnosis in infants examined at 1–4 months of age after being treated for NAS with a predilection for this to be right-sided. The etiology for this is uncertain, but newborns treated for NAS need close follow-up post discharge.



中文翻译:

新生儿戒断综合征婴儿斜颈

客观的

报告在接受新生儿戒断综合征 (NAS) 治疗的婴儿中诊断出斜颈的发生率,并比较患有和不患有斜颈的新生儿。

学习规划

这项前瞻性队列研究报告了在 1-4 个月大时检查的婴儿。对妊娠期间使用的许多产科/新生儿因素和其他药物进行了比较。

结果

在接受 NAS 治疗的 501 名新生儿中,有 421 名 (84%) 接受了随访。其中,105 人(24.9%)被诊断出患有斜颈。如果父母是出院后的主要照顾者,唯一确定的重要产科/新生儿因素是较低的比率。在 105 例病例中,88 例(84%)为右侧,17 例(16%)为左侧。

结论

这些数据表明,斜颈是 1-4 个月大的婴儿在接受 NAS 治疗后检查的常见诊断,并且偏向于右侧。其病因尚不确定,但接受 NAS 治疗的新生儿出院后需要密切随访。

更新日期:2020-01-06
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