Description

A child with a posterior fossa tumor may present with the triad of torticollis, photophobia and epiphora.


Clinical features:

(1) photophobia

(2) torticollis

(3) epiphora (watery eyes)

(4) identification of a tumor in the posterior fossa on imaging studies

 

Mechanism: associated with internuclear connections between cranial nerves II, V and VII, with triad triggered by bright light

 

Acquired torticollis in children may also be seen with a cervical spine tumor.


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