{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T14:44:08Z","timestamp":1792075448507,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe the etiological spectrum and pathophysiological mechanisms of torticollis in a clinically selected paediatric cohort and to characterise clinical features associated with serious underlying pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective observational study at a tertiary referral centre over 5\u2009years. Only patients in whom torticollis led to advanced evaluation or intervention were included. Cases were retrospectively classified by dominant pathophysiological mechanism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifteen patients (9 boys, 6 girls; median age 4\u2009years) were included. Aetiologies included intracranial tumours (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095), spinal dural arteriovenous fistula, myelin oligodendrocyte glycoprotein antibody\u2010associated disease (MOGAD), ADPRHL2\u2010related neurodegeneration (CONDSIAS), atlantoaxial subluxation, cervical lymphadenitis, laryngomalacia, epilepsy, ocular disorders, and acute monocytic leukaemia (AML\u2010M5). Seven dominant mechanisms were assigned: compensatory posturing (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097), pain\u2010avoidance posturing (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093), vestibulocerebellar dysfunction (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), cervical spine instability (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), ocular compensation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), cortical irritability (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), and paroxysmal neurodegeneration (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). Torticollis resolved in 13 of 15 patients (86.7%) after definitive treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Torticollis developing after the neonatal period may be the presenting sign of conditions ranging from refractive error to leukaemia, MOGAD, and dural arteriovenous fistula in children. The mechanism\u2010based interpretations presented here are hypothesis\u2010generating and require prospective validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70551","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T06:32:04Z","timestamp":1788244324000},"page":"2029-2040","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Leukaemia to\n                    <scp>MOGAD<\/scp>\n                    , From Refractive Error to Dural Fistula: Torticollis as the Presenting Sign of Serious Disease in Children"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2195-3551","authenticated-orcid":false,"given":"Y\u0131lmaz","family":"Se\u00e7ilmi\u015f","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Emergency Erciyes University, Faculty of Medicine  Kayseri 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