Dystonia is a syndrome of sustained muscle contractions, causing abnormal postures, twisting, and repetitive movements. Dystonic appearance may be mimicked by other neurological diseases or non-neurological disorders in which sustained abnormal postures may be present, but which are not considered a true dystonia, and hence are called pseudodystonia. Some forms of pseudodystonia are neurological emergencies, requiring urgent evaluation and treatment. Atlanto-axial rotatory subluxation, tetanus, neoplastic torticollis, and infectious/inflammatory torticollis all require appropriate measures; otherwise, they will result in medical disasters. In this chapter, we discuss causes, evaluation, and management of pseudodystonic emergencies.