Microsurgical dennervation in treatment of focal cervical muscular dystonia: analysis of treatment of 26 patients with laterocollis


  • I.B. Tretyak
  • M.Yu. Freidman
Keywords: focal muscular cervical dystonia, spasmodic torticollis, laterocollis, microsurgical dennervations

Abstract

26 patients with laterocollis were enrolled into the study. All enrolled patients underwent 60 microsurgical denervations of dystonic muscles, including 26 (43,33%) selective dennervations of ipsilateral sternocleidomastoid muscle, 24 (40%) selective posterior ramisectomy of C1-C6 rootlets (Bertrand's procedure), 10 (16,67%) denervations and myotomias of dystonic muscles of omo-trapezoid triangle (DMOTT). The outcome evaluation was conducted via neurological examination and Toronto Western Spasmodic Torticollis Rating Scale questionnaire. The outcomes showed 3-times decrease of severe laterocollis (up to 0%), the average severity of spastic torticollis with laterocollis prevailed among all patients (62,5%), in 37.5% we observed spastic torticollis with mild. Indicators of severe disability decreased from 15,38% to 0%, light level increased from 11,54% to 46,71%. Implementation of denervation and muscle myotomes shoulder-blade triangle allowed to significantly affect the performance of spastic torticollis severity of laterocollis.

Published
2017-09-29
How to Cite
Tretyak, I., & Freidman, M. (2017). Microsurgical dennervation in treatment of focal cervical muscular dystonia: analysis of treatment of 26 patients with laterocollis. Reports of Vinnytsia National Medical University, 19(2), 477-481. Retrieved from https://reports-vnmedical.com.ua/index.php/journal/article/view/271