Fig. 3. A 52-year-old female with neglected left congenital muscular torticollis. Magnetic resonance imaging of the neck reveals short left sternocleidomastoid muscle (arrow, A) with low signal intensity in left sternocleidomastoid muscle (arrow, B), suggesting left congenital muscular torticollis. The whole spine X-ray shows left thoracic scoliosis with 37.58° of Cobb angle (arrow, C). Three-dimensional computed tomogram reveals left head tilting with 26.93° of cervicomandibular angle (arrow, D), the facial asymmetry with flat left zygomatic arch (arrow, E), and craniovertebral junction abnormality with a shift of dense toward left (arrow, F). She underwent both unipolar resections of the left sternocleidomastoid muscle and post-operative physical therapy, showing improved symptoms.
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