Annals of Indian Academy of Neurology
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CASE REPORT
Year : 2008  |  Volume : 11  |  Issue : 2  |  Page : 119-122

An unusual case of rapidly progressive contractures: Case report and brief review


1 Department of Neurology, NIMHANS, Bangalore, India
2 Department of Neuroimaging and Interventional Radiology, NIMHANS, Bangalore, India

Correspondence Address:
Samhita Panda
Department of Neurology, NIMHANS, Hosur Road, Bangalore-560 029, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.41882

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An 8-year-old boy, diagnosed as cervical dystonia, was referred to our tertiary center. After a trivial trauma he had developed painful lumps in the axial region, which was followed by restricted movements of neck, shoulder, and abdominal muscles over 4 months. He had kyphoscoliosis, torticollis, rigid abdomen, and multiple muscle contractures. He also had short great toes. A detailed skeletal survey showed calcification in the soft tissues surrounding the shoulder anterior chest wall, thorax, and paraspinal muscles; there was also beaking of vertebrae, which was confirmed by CT thorax. This report showcases the diagnostic challenge posed by myositis ossificans progressiva, which can rarely cause rapidly progressing muscle contractures. A brief review of literature is also presented.


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