颈椎型肌张力障碍患者的颈最长肌肥大。
Hypertrophy of the Spinalis Cervicis Muscle in Cervical Dystonia.
机构信息
Institute of Systems Motor Science, University of Lübeck, Lübeck, Germany.
Department of Rare Diseases, University Hospital Schleswig Holstein, Lübeck, Germany.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2023 Nov 7;13:42. doi: 10.5334/tohm.811. eCollection 2023.
BACKGROUND
Botulinum neurotoxin A (BoNT) is the first line treatment for cervical dystonia (CD) and treatment outcome significantly depends on the correct identification of the muscles involved.
PHENOMENOLOGY SHOWN
In a case with insufficient response to BoNT treatment further work up with magnetic resonance imaging (MRI) of the neck revealed a hypertrophic spinalis cervicis muscle, that is not commonly involved in CD.
EDUCATIONAL VALUE
This highlights the use of MRI for muscle selection in treatment refractory CD cases.
背景
肉毒毒素 A（BoNT）是治疗颈部肌张力障碍（CD）的一线药物，治疗效果显著取决于对受累肌肉的正确识别。
临床表现
在一例 BoNT 治疗反应不足的病例中，进一步进行颈部磁共振成像（MRI）检查显示出颈椎脊柱肌肥大，这在 CD 中并不常见。
教育价值
这突出了 MRI 在治疗抵抗性 CD 病例中对肌肉选择的应用。
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