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ICD Coding:
  • ICD-10-AM Codes: G24.3
Brief description

Spasmodic torticollis is an involuntary movement disorder, involving sustained or intermittent muscle contractions that result in twisting and repetitive movements or abnormal postures of the head, neck, and shoulders. 

Confirming the diagnosis

The diagnosis can often be made based on the findings of clinical examination.  Imaging and/or blood tests may be useful to exclude other diagnoses.

To establish the diagnosis, the assessment and/or management often involves consultation with a neurologist.

Related conditions that may be covered by SOP (further information required)
  • Torticollis
  • Focal or segmental dystonia affecting the neck
  • Idiopathic cervical dystonia
Conditions not covered by SOP
  • congenital dystonia #
  • post-traumatic dystonia #
  • drug-induced tardive dystonia #
  • generalised or hemi-dystonia #
  • paroxysmal dystonia #
  • dystonia resulting from a neurological disorder # 
  • dystonia resulting from a structural lesion of the brain or cervical cord #
  • dystonia resulting from a local lesion of the cervical region #

* another SoP applies- the SOP has the same name unless otherwise specified

# non- SoP condition

Clinical onset

The clinical onset will be the time when involuntary movements first appeared and were subsequently confirmed to be caused by spasmodic torticollis. 

Clinical worsening

The only clinical worsening factor is the inability to obtain appropriate clinical management. Available treatments are symptomatic, aiming to relieve discomfort, but they do not modify the underlying disease pathology.