
Cervical dystonia/spasmodic torticollis is the involuntary muscular contraction of the neck, which leads to head twist. It is a rare neurological disorder that affects all age groups and most often it affects middle-aged people. Women are more susceptible to cervical dystonia compared to men. Muscular contractions of cervical dystonia can cause the head to twist in different directions, e.g., the chin towards the shoulder, chin straight up, ear toward the shoulder and chin straight down. Most of the people with cervical dystonia experience neck pain and it can be radiated into shoulders. The cause of cervical dystonia is unknown and in few cases, it is considered as genetic. Presently, there is no cure for cervical dystonia and in few cases the treatment is not required. Botulinum toxin injection is used for symptomatic therapy to reduce signs and symptoms, whereas surgery is used in few cases. Botulinum is often used as a paralyzing agent to smooth facial wrinkles. Other treatments such as oral medication that includes anticholinergic agents and dopaminergic agents are used in combination. Oral medication is effective in generalized dystonia and mostly used in children.