内镜下头长肌注射治疗肌张力障碍性头部前屈
Endoscopic Injection of the Longus Capiti Muscle in the Treatment of Dystonic Head Flexion.
作者信息
Hicklin Lucy A, Marion Marie-Helene
机构信息
Ear, Nose & Throat Department St George's Hospital London United Kingdom.
出版信息
Mov Disord Clin Pract. 2020 Mar 11;7(3):293-297. doi: 10.1002/mdc3.12916. eCollection 2020 Apr.
Abstract
BACKGROUND
Anterocollis posture is a relatively rare finding among patients with cervical dystonia and often the cause of treatment failure. The dystonic posture can be complex to analyze, and the deep flexor muscles of the neck, longus capiti, and longus coli can be challenging to access.
METHODS
We present a modification of a previously described endoscopic technique that allows straightforward access to the longus capiti muscles in an outpatient setting under local anesthetic.
RESULTS
We describe the technique based on our experience on 6 patients during a 2-year period with a total of 22 injections, and we review the literature.
CONCLUSION
The injection is well tolerated and has led to significant improvement in the majority of patients.
摘要
背景
前屈颈姿势在颈部肌张力障碍患者中是一种相对罕见的表现，且常常是治疗失败的原因。这种肌张力障碍姿势分析起来可能很复杂，而颈部深层屈肌、头长肌和颈长肌难以触及。
方法
我们介绍了一种对先前描述的内镜技术的改良方法，该方法可在门诊局部麻醉下直接触及头长肌。
结果
我们根据2年期间对6例患者共进行22次注射的经验描述了该技术，并对文献进行了综述。
结论
该注射耐受性良好，已使大多数患者有显著改善。
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Collum-caput (COL-CAP) concept for conceptual anterocollis, anterocaput, and forward sagittal shift.用于概念性颈椎前凸、头部前倾和矢状面前移的颈-头（COL-CAP）概念。
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Mov Disord. 2011 Nov;26(13):2409-14. doi: 10.1002/mds.23905. Epub 2011 Sep 12.
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