{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:33:05Z","timestamp":1769729585206,"version":"3.49.0"},"reference-count":28,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,7,8]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>A paracondylar process is an abnormal bony exostosis arising from the skull base lateral to the occipital condyle and extending inferiorly toward the transverse process of the atlas. Paracondylar processes are typically identified incidentally and vary in size from a small protuberance to an elongated process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors present the first pediatric case of torticollis secondary to a congenital paracondylar process successfully treated with resection of the paracondylar process and sternocleidomastoid release.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Cadaveric dissection, three-dimensional models, intraoperative imaging guidance, and multidisciplinary collaboration were paramount to a successful surgical outcome.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE2447\">https:\/\/thejns.org\/doi\/10.3171\/CASE2447<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2447","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T02:50:04Z","timestamp":1720407004000},"source":"Crossref","is-referenced-by-count":1,"title":["Surgical treatment of torticollis secondary to the presence of a congenital paracondylar process: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Grace","family":"Hey","sequence":"first","affiliation":[{"name":"University of Florida College of Medicine, Gainesville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Otavio","family":"De Toledo","sequence":"additional","affiliation":[{"name":"Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville, Florida"},{"name":"Research Department, Jacksonville University, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvador","family":"Gutierrez-Aguirre","sequence":"additional","affiliation":[{"name":"Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville, Florida"},{"name":"Research Department, Jacksonville University, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Andreoli","sequence":"additional","affiliation":[{"name":"Section of Pediatric Otolaryngology, Wolfson Children\u2019s Hospital, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pushpak","family":"Patel","sequence":"additional","affiliation":[{"name":"Nemours Children\u2019s Health, Orlando, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyssa","family":"Tamasi","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, University of Florida College of Medicine and Wolfson Children\u2019s Hospital, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asmaa","family":"Hatem","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, University of Florida College of Medicine and Wolfson Children\u2019s Hospital, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Aldana","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, University of Florida College of Medicine and Wolfson Children\u2019s Hospital, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"Stat","article-title":"Congenital torticollis","author":"Gundrathi","year":"2023","unstructured":"Gundrathi JCunha BMendez MD. Congenital torticollis. StatPearls. 2023."},{"issue":"2","key":"bib2","series-title":"Pediatrics","article-title":"Congenital muscular torticollis: bridging the gap between research and clinical practice","volume":"144","author":"Sargent","year":"2019","unstructured":"Sargent BKaplan SLCoulter CBaker C. Congenital muscular torticollis: bridging the gap between research and clinical practice. Pediatrics. 2019;144(2):e20190582."},{"issue":"4","key":"bib3","series-title":"J Pediatr Orthop","first-page":"500","article-title":"The prevalence of nonmuscular causes of torticollis in children","volume":"16","author":"Ballock","year":"1996","unstructured":"Ballock RTSong KM. The prevalence of nonmuscular causes of torticollis in children. J Pediatr Orthop. 1996;16(4):500-504."},{"issue":"3","key":"bib4","series-title":"J Bone Joint Surg Br","first-page":"404","article-title":"Torticollis due to a combination of sternomastoid contracture and congenital vertebral anomalies","volume":"71","author":"Brougham","year":"1989","unstructured":"Brougham DICole WGDickens DRMenelaus MB. Torticollis due to a combination of sternomastoid contracture and congenital vertebral anomalies. J Bone Joint Surg Br. 1989;71(3):404-407."},{"issue":"2","key":"bib5","series-title":"Phys Occup Ther Pediatr","first-page":"1","article-title":"The differential diagnosis of torticollis in children","volume":"17","author":"Cooperman","year":"1997","unstructured":"Cooperman DR. The differential diagnosis of torticollis in children. Phys Occup Ther Pediatr. 1997;17(2):1-11."},{"issue":"1","key":"bib6","series-title":"J Neurosurg Spine","first-page":"9","article-title":"Symptomatic occipitocervical paracondylar process","volume":"12","author":"McCall","year":"2010","unstructured":"McCall TCoppens JCouldwell WDailey A. Symptomatic occipitocervical paracondylar process. J Neurosurg Spine. 2010;12(1):9-12."},{"key":"bib7","series-title":"BMJ Case Rep","first-page":"bcr2014205315","article-title":"Paracondylar process of the occipital bone of the skull: a rare congenital anatomical variant","volume":"2014","author":"Narayanan","year":"2014","unstructured":"Narayanan RShankar BParuthikunnan SMKulkarni CD. Paracondylar process of the occipital bone of the skull: a rare congenital anatomical variant. BMJ Case Rep. 2014;2014:bcr2014205315."},{"issue":"2","key":"bib8","series-title":"Indian J Orthop","first-page":"123","article-title":"Congenital muscular torticollis: use of gaze angle and translational deformity in assessment of facial asymmetry","volume":"51","author":"Bhaskar","year":"2017","unstructured":"Bhaskar AHarish UDesai H. Congenital muscular torticollis: use of gaze angle and translational deformity in assessment of facial asymmetry. Indian J Orthop. 2017;51(2):123-130."},{"issue":"2","key":"bib9","series-title":"Anat Cell Biol","first-page":"247","article-title":"Three ipsilateral paracondylar processes with other skull base variations: case report","volume":"55","author":"Syed","year":"2022","unstructured":"Syed AOlewnik \u0141Georgiev GPIwanaga JDumont ASTubbs RS. Three ipsilateral paracondylar processes with other skull base variations: case report. Anat Cell Biol. 2022;55(2):247-250."},{"issue":"11","key":"bib10","series-title":"Cephalalgia","first-page":"1098","article-title":"Surgical treatment for an uncommon headache: gap of 4800 years","volume":"37","author":"Isidro","year":"2017","unstructured":"Isidro ABurdeus JMLoscos SBara JBosch JGallart A. Surgical treatment for an uncommon headache: gap of 4800 years. Cephalalgia. 2017;37(11):1098-1101."},{"issue":"11","key":"bib11","series-title":"Mil Med","first-page":"931","article-title":"Atlas occipitalization in a supersonic fighter pilot involved in a midair collision: a case report","volume":"175","author":"Gips","year":"2010","unstructured":"Gips HHiss JDavidson B. Atlas occipitalization in a supersonic fighter pilot involved in a midair collision: a case report. Mil Med. 2010;175(11):931-934."},{"issue":"9","key":"bib12","series-title":"Spine","first-page":"E283","article-title":"The paracondylar process: an unusual and treatable cause of posttraumatic headache","volume":"33","author":"de Graauw","year":"2008","unstructured":"de Graauw NCarpay HASlooff WBM. The paracondylar process: an unusual and treatable cause of posttraumatic headache. Spine. 2008;33(9):E283-E286."},{"issue":"11","key":"bib13","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"1543","article-title":"Management of congenital muscular torticollis in a child: a case report and review","volume":"76","author":"Ta","year":"2012","unstructured":"Ta JHKrishnan M. Management of congenital muscular torticollis in a child: a case report and review. Int J Pediatr Otorhinolaryngol. 2012;76(11):1543-1546."},{"key":"bib14","series-title":"Int J Surg Case Rep","first-page":"108144","article-title":"The outcomes of congenital torticollis delayed surgery in older children: A case series","volume":"106","author":"El Bouhmadi","year":"2023","unstructured":"El Bouhmadi KOukessou YSaout Arrih BRouadi SAbada RMahtar M. The outcomes of congenital torticollis delayed surgery in older children: A case series. Int J Surg Case Rep. 2023;106:108144."},{"key":"bib1","series-title":"Stat","article-title":"Congenital torticollis","author":"Gundrathi","year":"2023","unstructured":"Gundrathi JCunha BMendez MD. Congenital torticollis. StatPearls. 2023."},{"issue":"2","key":"bib2","series-title":"Pediatrics","article-title":"Congenital muscular torticollis: bridging the gap between research and clinical practice","volume":"144","author":"Sargent","year":"2019","unstructured":"Sargent BKaplan SLCoulter CBaker C. Congenital muscular torticollis: bridging the gap between research and clinical practice. Pediatrics. 2019;144(2):e20190582."},{"issue":"4","key":"bib3","series-title":"J Pediatr Orthop","first-page":"500","article-title":"The prevalence of nonmuscular causes of torticollis in children","volume":"16","author":"Ballock","year":"1996","unstructured":"Ballock RTSong KM. The prevalence of nonmuscular causes of torticollis in children. J Pediatr Orthop. 1996;16(4):500-504."},{"issue":"3","key":"bib4","series-title":"J Bone Joint Surg Br","first-page":"404","article-title":"Torticollis due to a combination of sternomastoid contracture and congenital vertebral anomalies","volume":"71","author":"Brougham","year":"1989","unstructured":"Brougham DICole WGDickens DRMenelaus MB. Torticollis due to a combination of sternomastoid contracture and congenital vertebral anomalies. J Bone Joint Surg Br. 1989;71(3):404-407."},{"issue":"2","key":"bib5","series-title":"Phys Occup Ther Pediatr","first-page":"1","article-title":"The differential diagnosis of torticollis in children","volume":"17","author":"Cooperman","year":"1997","unstructured":"Cooperman DR. The differential diagnosis of torticollis in children. Phys Occup Ther Pediatr. 1997;17(2):1-11."},{"issue":"1","key":"bib6","series-title":"J Neurosurg Spine","first-page":"9","article-title":"Symptomatic occipitocervical paracondylar process","volume":"12","author":"McCall","year":"2010","unstructured":"McCall TCoppens JCouldwell WDailey A. Symptomatic occipitocervical paracondylar process. J Neurosurg Spine. 2010;12(1):9-12."},{"key":"bib7","series-title":"BMJ Case Rep","first-page":"bcr2014205315","article-title":"Paracondylar process of the occipital bone of the skull: a rare congenital anatomical variant","volume":"2014","author":"Narayanan","year":"2014","unstructured":"Narayanan RShankar BParuthikunnan SMKulkarni CD. Paracondylar process of the occipital bone of the skull: a rare congenital anatomical variant. BMJ Case Rep. 2014;2014:bcr2014205315."},{"issue":"2","key":"bib8","series-title":"Indian J Orthop","first-page":"123","article-title":"Congenital muscular torticollis: use of gaze angle and translational deformity in assessment of facial asymmetry","volume":"51","author":"Bhaskar","year":"2017","unstructured":"Bhaskar AHarish UDesai H. Congenital muscular torticollis: use of gaze angle and translational deformity in assessment of facial asymmetry. Indian J Orthop. 2017;51(2):123-130."},{"issue":"2","key":"bib9","series-title":"Anat Cell Biol","first-page":"247","article-title":"Three ipsilateral paracondylar processes with other skull base variations: case report","volume":"55","author":"Syed","year":"2022","unstructured":"Syed AOlewnik \u0141Georgiev GPIwanaga JDumont ASTubbs RS. Three ipsilateral paracondylar processes with other skull base variations: case report. Anat Cell Biol. 2022;55(2):247-250."},{"issue":"11","key":"bib10","series-title":"Cephalalgia","first-page":"1098","article-title":"Surgical treatment for an uncommon headache: gap of 4800 years","volume":"37","author":"Isidro","year":"2017","unstructured":"Isidro ABurdeus JMLoscos SBara JBosch JGallart A. Surgical treatment for an uncommon headache: gap of 4800 years. Cephalalgia. 2017;37(11):1098-1101."},{"issue":"11","key":"bib11","series-title":"Mil Med","first-page":"931","article-title":"Atlas occipitalization in a supersonic fighter pilot involved in a midair collision: a case report","volume":"175","author":"Gips","year":"2010","unstructured":"Gips HHiss JDavidson B. Atlas occipitalization in a supersonic fighter pilot involved in a midair collision: a case report. Mil Med. 2010;175(11):931-934."},{"issue":"9","key":"bib12","series-title":"Spine","first-page":"E283","article-title":"The paracondylar process: an unusual and treatable cause of posttraumatic headache","volume":"33","author":"de Graauw","year":"2008","unstructured":"de Graauw NCarpay HASlooff WBM. The paracondylar process: an unusual and treatable cause of posttraumatic headache. Spine. 2008;33(9):E283-E286."},{"issue":"11","key":"bib13","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"1543","article-title":"Management of congenital muscular torticollis in a child: a case report and review","volume":"76","author":"Ta","year":"2012","unstructured":"Ta JHKrishnan M. Management of congenital muscular torticollis in a child: a case report and review. Int J Pediatr Otorhinolaryngol. 2012;76(11):1543-1546."},{"key":"bib14","series-title":"Int J Surg Case Rep","first-page":"108144","article-title":"The outcomes of congenital torticollis delayed surgery in older children: A case series","volume":"106","author":"El Bouhmadi","year":"2023","unstructured":"El Bouhmadi KOukessou YSaout Arrih BRouadi SAbada RMahtar M. The outcomes of congenital torticollis delayed surgery in older children: A case series. Int J Surg Case Rep. 2023;106:108144."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/2\/article-CASE2447.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/2\/article-CASE2447.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/2\/article-CASE2447.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:57:03Z","timestamp":1769687823000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/2\/article-CASE2447.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,8]]},"references-count":28,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/case2447","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,8]]}}}