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En 40-årig kvinna söker p g a att hon sedan två år känner av att huvudet drar åt vänster. Tillståndet har tilltagit, men nu hållit sig oförändrat de senaste månaderna. Försök med kiropraktor, massage, ultraljud och akupunktur har ej hjälpt. Ej försökt med tablettbehandling, förutom att ta Treo vid behov mot värk som hon känner ibland bak i nacken. Har ej märkt något som förbättrar vridningstendensen av huvudet, stress för¬säm¬rar. I status noterar Du en något nervös kvinna. Huvudet är vridet åt vänster motsvarande c:a 30 grader och huvudet lutar även lätt åt vänster. Vänster axel är lätt förhöjd jämfört med höger. Vid palpation känner Du att spleniusmuskeln på vänster och sternocleidomastoideus på höger är något hypertrofiska. a) Diagnos? b) Finns det någon behandling? Vilken/Vilka?

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