Vol 54, No 3 (2020)
Short communication
Published online: 2020-03-30
Submitted: 2020-01-29
Accepted: 2020-03-20
Get Citation

Preferred muscles in cervical dystonia

Wolfgang H. Jost, Bo Biering-Sørensen, Artur Drużdż, Alexandre Kreisler, Sanjay Pandey, Jarosław Sławek, Laurent Tatu
DOI: 10.5603/PJNNS.a2020.0022
·
Pubmed: 32227332
·
Neurol Neurochir Pol 2020;54(3):277-279.

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Vol 54, No 3 (2020)
Short communication
Published online: 2020-03-30
Submitted: 2020-01-29
Accepted: 2020-03-20

Abstract

The classification of abnormal posture and the assessment of the affected muscles in cervical dystonia (CD) have changed in recent years. To determine the frequency of injected muscles, we studied 306 patients with CD. The mean age was 55.5 ± 13.1 years (range 21–90), 67% were female. Splenius capitis was the most commonly injected muscle (83%), followed by sternocleidomastoid (79.1%), and trapezius muscles (58.5%). The three next most common were the levator scapulae, semispinalis capitis, and obliquus capitis inferior muscles. The study shows that the most commonly injected muscles have remained unchanged over the past few decades, although the concept has changed. However, several new muscles have been added that were previously never, or hardly ever, considered.

Abstract

The classification of abnormal posture and the assessment of the affected muscles in cervical dystonia (CD) have changed in recent years. To determine the frequency of injected muscles, we studied 306 patients with CD. The mean age was 55.5 ± 13.1 years (range 21–90), 67% were female. Splenius capitis was the most commonly injected muscle (83%), followed by sternocleidomastoid (79.1%), and trapezius muscles (58.5%). The three next most common were the levator scapulae, semispinalis capitis, and obliquus capitis inferior muscles. The study shows that the most commonly injected muscles have remained unchanged over the past few decades, although the concept has changed. However, several new muscles have been added that were previously never, or hardly ever, considered.

Get Citation

Keywords

cervical dystonia, torticollis, sternocleidomastoid muscle

About this article
Title

Preferred muscles in cervical dystonia

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 54, No 3 (2020)

Pages

277-279

Published online

2020-03-30

DOI

10.5603/PJNNS.a2020.0022

Pubmed

32227332

Bibliographic record

Neurol Neurochir Pol 2020;54(3):277-279.

Keywords

cervical dystonia
torticollis
sternocleidomastoid muscle

Authors

Wolfgang H. Jost
Bo Biering-Sørensen
Artur Drużdż
Alexandre Kreisler
Sanjay Pandey
Jarosław Sławek
Laurent Tatu

References (8)
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  2. Reichel G. Cervical dystonia: A new phenomenological classification for botulinum toxin therapy. Basal Ganglia. 2011; 1(1): 5–12.
  3. Jost WH, Tatu L. Selection of Muscles for Botulinum Toxin Injections in Cervical Dystonia. Mov Disord Clin Pract. 2015; 2(3): 224–226.
  4. Tatu L, Jost WH. Anatomy and cervical dystonia. Journal of Neural Transmission. 2016; 124(2): 237–243.
  5. Jost WH, Tatu L, Pandey S, et al. Frequency of different subtypes of cervical dystonia. J Neural Transm. 2020; 127: 45–50.
  6. Schramm A, Bäumer T, Fietzek U, et al. Relevance of sonography for botulinum toxin treatment of cervical dystonia: an expert statement. J Neural Transm (Vienna). 2015; 122(10): 1457–1463.
  7. Tyślerowicz M, Jost WH. Injection into the Longus Colli Muscle via the Thyroid Gland. Tremor Other Hyperkinet Mov (N Y). 2019; 9.
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