[Treatment of spastic torticollis with phenol-glycerin and alcohol-novocaine blockade].

Among the different etiological factors of spastic torticollis the authors attribute the main role to the gamma-motor system. They have elaborated a treatment method which blocks the neuromotor points of the gamma-motor system in the sternocleidomastoid and Musculus trapesius muscle by alcoholnovocain or phenolglycerine. Treatment was administered to 44 patients from 17-67 years with etiologically different diseases. A significant improvement was marked in 11 patients, improvement in 28. The absence of a positive effect was seen in patients with torsion dystonia. Clinico-EMG data demonstrated that influence on the peripheral segment of the reflectory are which is involved in the phasic-tonic muscle reactions, by a differentiated focal disengagement of gamma-motor mechanism facilitates a removal of spasticity and a restitution of a normal tonic and motor activity in the muscles of the neck.