Tran Tai Ngoc, Le Minh, Dang Thuong Huyen Thi, Truong Daniel
University Medical Center, Ho Chi Minh City, Vietnam.
The Parkinson and Movement Disorder Institute, Fountain Valley, CA 92708, USA.
Clin Park Relat Disord. 2019 Jul 15;1:8-9. doi: 10.1016/j.prdoa.2019.06.002. eCollection 2019.
We describe a patient with goose-neck posture as the presenting form of cervical dystonia. In our case, the bilateral semispinalis capitis muscles were hypertrophic, thick, and overactive while both splenius capitis and sternocleidomastoid muscles were normal. In this single case experience, we demonstrated that the semispinalis capitis muscle may play a primary role in causing a goose-neck posture and the observed forward sagittal shift may be a compensatory or overflow activity of neck flexor muscles. Therefore, botulinum toxin injection to the semispinalis capitis muscles can be considered in the management of patients with goose-neck posture.
我们描述了一名以鹅颈样姿势为颈肌张力障碍表现形式的患者。在我们的病例中，双侧头半棘肌肥厚、粗壮且过度活跃，而头夹肌和胸锁乳突肌均正常。在这一病例经验中，我们证明头半棘肌可能在导致鹅颈样姿势中起主要作用，观察到的矢状面前移可能是颈部屈肌的一种代偿或溢流活动。因此，在鹅颈样姿势患者的治疗中可考虑对头半棘肌注射肉毒杆菌毒素。
