To the Editor.—I have read with great interest the article by Snyder entitled "Paroxysmal Torticollis in Infancy,"1 and I was struck by the analogy of these patients' symptoms to those described in our paper "Dystonic Reactions in Children Caused by Metoclopramide."2 Our patients also presented a torticollis and one of them suffered intermittently from this distressing and bizarre condition—what we called a "cyclic torticollis"—for more than a year. The following points of analogy look important:
In three of the 12 babies reported by Snyder, there was abnormal rolling or deviation of the eyes at the onset of the attacks. Four of our five patients presented the same symptoms, known as the typical oculogyric crisis.
When the mother attempted to straighten the head, some of the babies cried. This might suggest that these children felt a painful spasm of the neck muscles, which was a clear-cut feature in
DAELE MC. PAROXYSMAL TORTICOLLIS IN INFANCY. Am J Dis Child. 1970;120(1):88. doi:10.1001/archpedi.1970.02100060122024