What lies behind torticollis?

Torticollis in pediatrics is a clinical sign (tilted or rotated neck) and not a definitive diagnosis; therefore, the underlying cause must always be investigated. The diagnostic suspicion varies depending on the age, mode of onset, and associated symptoms.

We present the case of a 4-year-old boy with torticollis that began upon waking in the morning. He reported intense pain and cervical stiffness that limited the range of motion of the head, with the head tilted to the left, but no other symptoms. The findings of the examination and imaging tests were key to the diagnosis.