Jost Wolfgang H
Parkinson-Klinik Ortenau, Wolfach, DE.
Department of Neurology, University of Freiburg, Freiburg, DE.
Tremor Other Hyperkinet Mov (N Y). 2019 Jul 12;9. doi: 10.7916/tohm.v0.647. eCollection 2019.
Several different subtypes are distinguished in cervical dystonia, depending on their different levels of movement. In simple rotation, classified as torticollis spasmodicus, we now differentiate between torticollis and torticaput dependent on whether only the head or the neck is turned. The new classification system permits for different injection schemes.
In a retrospective study of 22 patients, we examined whether modifying the injected muscles leads to improvement in the results as evaluated in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). The results showed that both injection schemes do in fact lead to improvements while differentiating between caput and collum has significantly better effects.
Due to our results we recommend the classification differentiating between torticollis and torticaput type.
根据运动水平的不同，颈部肌张力障碍可分为几种不同的亚型。在被归类为痉挛性斜颈的单纯旋转型中，我们现在根据是仅头部转动还是颈部转动，区分斜颈型和斜头型。新的分类系统允许采用不同的注射方案。
在一项对22例患者的回顾性研究中，我们检查了改变注射肌肉是否会使多伦多西部痉挛性斜颈评定量表（TWSTRS）评估的结果得到改善。结果表明，两种注射方案实际上都能带来改善，而区分头和颈的类型效果明显更好。
基于我们的结果，我们推荐区分斜颈型和斜头型的分类方法。
