先天性肌性斜颈婴儿胸锁乳突肌肥大所致复发性右颈部肿块的自然消退

M. Sung, Jong-Hyub Lee, Sung Soo Kim, K. Byun
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摘要

一例男婴先天性肌性斜颈完全康复,表现为右侧胸锁乳突肌(SCM)引起的同侧颈部肿块,并伴有其他症状,如对侧头部旋转和运动受限,初步物理治疗6个月后。6个月新生儿门诊体格检查及颈部超声检查发现颈部肿块消失,停止治疗。发作12个月后,先天性肌性斜颈复发,唯一的症状是同侧颈部肿块,随后恢复,运动不受限制。复发26个月后,除2个月的第二次物理治疗无效外,未进行任何治疗,连续超声检查显示右侧颈部肿块自发消退。复发性SCM肥大的恢复极为罕见;因此,我们报告了这个案例。我们认为该病例可以帮助临床医生诊断和治疗复发的SCM肥大患者,无并发症。
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Spontaneous Resolution of a Relapsed Right Neck Mass due to Sternocleidomastoid Hypertrophy in a Congenital Muscular Torticollis Infant
There was an episode of complete recovery of congenital muscular torticollis presenting an ipsilateral neck mass due to the right sternocleidomastoid muscle (SCM) with other symptoms such as contralateral rotation of the head and restricted motion following initial physiotherapy for 6 months in a male infant. Physical examination and neck ultrasonography in the neonate clinic at 6 months revealed that his neck mass had disappeared, so therapy was discontinued. After 12 months of the episode, there was a reoccurrence of congenital muscular torticollis with the only symptom of ipsilateral neck mass and subsequently recovered without restricted motion. After 26 months of the reoccurrence, with no treatment except for 2 months of the second physiotherapy which was proven to be ineffective, spontaneous resolution of the right neck mass was demonstrated on serial ultrasound. Recovery of relapse SCM hypertrophy is extremely rare; therefore, we report the case. We suggest that the case may help clinicians diagnose and treating patients with the recovery of relapse SCM hypertrophy without complications.
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