Clinical Practice and Cases in Emergency Medicine

Introduction: There exists a wide differential of etiologies for pediatric torticollis that extend beyond musculoskeletal factors. 

Case Report: We present a novel case of an 8-year-old male with 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. Though 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. 

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