ABSTRACT
A 6-year-old previously healthy male presents with persistent left-sided headache and neck pain. Three days ago, he had been hanging upside down on a door-mounted pull-up bar approximately 4–5 feet in the air when he fell straight down onto his head, landing on a hardwood floor. He had no loss of consciousness, upper extremity weakness, or paresthesias. He continued to complain of headache and neck pain, and was evaluated by his pediatrician the following day. At that time, his exam was notable for a left-sided torticollis, as well as a mild amount of lateral neck pain that was diagnosed as a muscle spasm. He was discharged home with acetaminophen and ibuprofen. The patient continued to complain of neck pain with worsening torticollis and decreasing activity, which prompted his emergency department visit.
