Postural vertigo due to trigger areas in the sternocleidomastoid muscle

摘要: Summary In an 11-year-old girl, attacks of postural vertigo and headache were traced to their source in trigger areas the sternocleidomastoid muscle, chief balancing muscle head. This is first case this syndrome be reported pediatric literature. Etiological factors, diagnosis, treatmentby local measures directed at interrupting mechanism, pathophysiology are discussed. A concept myofascial triggerarea as a physical sign with predictable patterns referred pain reflex autonomic concomitants presented. Every patient headache, posturalvertigo or dizziness, imbalance should examined routinely for related muscles. therapeutic trial ethyl chloride spray procaine infiltration made. Temporary partial relief implies either insufficient treatment reactivation mechanism reflexly by remote disease.