Stejskal L, Vladyka V, Tománek Z
Appl Neurophysiol. 1981;44(5-6):320-9. doi: 10.1159/000102214.
107 patients suffering from axial dyskinesias (torticollis and torsion dystonia) were observed at our clinic over a period of 10 years. In 15 patients, stereotactic lesions involving the head-turning bundle at the caudatocapsular level, which mediates forced adversive movements, were performed. In 70% good to excellent results were confirmed. However, differences between forced adversive movements and torticollis were identified. There are striking motor and motivational similarities between torticollis and ritualized fixed action patterns of low-ranking subjects. The aetiology of axial dyskinesias, especially of torticollis, is multifactorial, long-term psychic stress being an important factor. The relationship of axial dyskinesias, especially of torticollis, to compulsive neuroses is discussed, and Mazar's 'adversive' target area is identified as a partial orbitomedial leukotomy.
在10年时间里，我们诊所观察了107例患有轴性运动障碍（斜颈和扭转性肌张力障碍）的患者。其中15例患者接受了立体定向手术，毁损了位于尾状核囊水平介导强迫性反侧运动的扭头束。70%的患者取得了良好至极佳的效果。然而，我们发现强迫性反侧运动与斜颈之间存在差异。斜颈与低等级受试者的仪式化固定动作模式在运动和动机方面存在显著相似性。轴性运动障碍，尤其是斜颈的病因是多因素的，长期精神压力是一个重要因素。本文讨论了轴性运动障碍，尤其是斜颈与强迫性神经症的关系，并确定马扎尔的“反侧”目标区域为部分眶内侧白质切断术。
