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Preferred muscles in cervical dystonia
Affiliations- Parkinson-Klinik Ortenau, Wolfach, Germany
- Movement Disorder Clinic, Department of Neurology, Rigshospitalet, Copenhagen, Denmark, Copenhagen
- Department of Neurology, Municipal Hospital in Poznan, Poland
- Service de Neurologie et Pathologie du Mouvement, Chru de Lille, France
- Department of Neurology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, JLN Marg, New Delhi, India, New Delhi
- Department of Neurological-Psychiatric Nursing, Medical University of Gdansk, Department of Neurology, St. Adalbert Hospital, Gdansk, Poland
- Department of Neuromuscular Diseases and Department of Anatomy. CHRU Besançon, University of Franche-Comté, Besançon, France Abstract
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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.
Keywords
cervical dystonia, torticollis, sternocleidomastoid muscle
About this articleTitle
Preferred muscles in cervical dystonia
Journal
Neurologia i Neurochirurgia Polska
Issue
Article type
Short Communication
Pages
277-279
Published online
2020-03-30
Page views
2294
Article views/downloads
1077
DOI
Pubmed
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
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