Fahmi Achmad, Mandai Ayako, Mitsuyama Tetsuryu, Goto Shinichi, Taira Takaomi
Department of Neurosurgery, DR Soetomo Hospital, Airlangga University, Surabaya, Indonesia.
Kyoto Second Red Cross Hospital, Kyoto, Japan.
Asian J Neurosurg. 2017 Apr-Jun;12(2):244-246. doi: 10.4103/1793-5482.144152.
Platysma dystonia is an involuntary movement of platysma muscle. It is a rare form of dystonia. In this case report, we would like to report a good result of peripheral nerve denervation for bilateral platysma dystonia case. A 58-years-old woman presented with an 8-years history of involuntary jerking movement of her bilateral platysma muscles. Oral medication was not effective. Microsurgical denervation of the facial nerves and its terminal branches to the platysma muscles were performed. Immediately after surgery, the patient showed considerable improvement. There were no complications. Selective peripheral denervation is useful for dystonia of the platysma muscles.
颈阔肌肌张力障碍是颈阔肌的一种不自主运动。它是一种罕见的肌张力障碍形式。在本病例报告中，我们想报告一例双侧颈阔肌肌张力障碍患者接受周围神经去神经支配术取得良好效果的案例。一名58岁女性，双侧颈阔肌出现不自主抽搐运动已有8年病史。口服药物治疗无效。对支配颈阔肌的面神经及其终末分支进行了显微外科去神经支配术。术后患者即刻有明显改善。无并发症发生。选择性周围神经去神经支配术对颈阔肌肌张力障碍有效。
