# A Pediatric Case Report of Acute Torticollis Secondary to Atraumatic Cerebellar Hemorrhage

## TL;DR

A child developed sudden torticollis due to a rare brain hemorrhage, highlighting the need for thorough evaluation in similar cases.

## Contribution

This case report presents a rare cause of pediatric torticollis linked to a cerebellar cavernous malformation.

## Key findings

- The patient's torticollis was caused by an atraumatic cerebellar hemorrhage.
- Neurological symptoms resolved after several days without long-term deficits.
- The case emphasizes the importance of considering neurological causes in pediatric torticollis.

## Abstract

There exists a wide differential of etiologies for pediatric torticollis that extends beyond musculoskeletal factors.

We present a novel case of a pediatric patient with an acute atraumatic hemorrhage of the left cerebellum presenting with gradual worsening torticollis. Upon further diagnostic workup, he was found to have an intracerebral hemorrhage due to a cerebellar cavernous malformation. Although the hemorrhage boundaries were extensive, the patient had only exhibited transient dysmetria and facial weakness, with ultimate resolution of torticollis and these neurological symptoms after several days.

This case demonstrates the importance of maintaining a broad differential in the workup of acute pediatric torticollis.