Brans J, Aramideh M, Bosch A, Speelman H
Department of Neurology, University of Amsterdam, The Netherlands.
J Neurol. 1996 Apr;243(4):354-6. doi: 10.1007/BF00868411.
We describe three patients with a late presentation of congenital muscular torticollis to emphasize that this non-dystonic type of torticollis has to be considered in the differential diagnosis of cervical dystonia, even in adult patients. Surgery is the treatment of choice. Postoperatively, two of our patients had a transient lesion of the accessory nerve. We assume that in our patients the accessory nerve was embedded in the fibrous tissue around the affected muscle. To prevent damage to the accessory nerve, the incision has to be made distally at about 1 cm above the clavicle.
我们描述了3例先天性肌性斜颈表现较晚的患者，以强调即使在成年患者中，这种非肌张力障碍型斜颈也必须在颈部肌张力障碍的鉴别诊断中予以考虑。手术是首选治疗方法。术后，我们的2例患者出现了副神经的短暂性损伤。我们推测在我们的患者中，副神经嵌入了受影响肌肉周围的纤维组织中。为防止副神经损伤，切口必须在锁骨上方约1 cm处的远端进行。
