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1.
改良Foerster-Dandy手术治疗痉挛性斜颈 总被引:6,自引:2,他引:4
目的 探讨改良Foerster-Dandy手术治疗痉挛性斜颈的疗效。方法 回顾分析2001年7月至2004年6月显微手术治疗的26例痉挛性斜颈病人,全部采用改良Foerster-Dandy手术,即枕后正中入路硬膜下双侧副神经根、C1脊神经根切断、C2~C4脊神经前、后根选择性部分切断术。结果 全部病人平均随访12.8个月。100%病人术后立即感痉挛状态明显缓解,随访期间缓解率为100%。生活质量提高率在随访期间为96%。术后所有病例发生不同程度转颈无力、耸肩无力、双臂外展受限,随访期间均有所好转,1例病人发生头颈部支撑困难,并因此而影响生活质量。随访期间无复发病例。结论 改良Foerster-Dandy手术是治疗痉挛性斜颈安全有效的手术方法。选择合适病例、熟悉局部解剖、掌握显微手术技巧是保证疗效的关键。 相似文献
2.
Alfonso Fasano Antonio E Elia Arianna Guidubaldi Pietro A Tonali Anna Rita Bentivoglio 《Movement disorders》2007,22(4):564-566
We report a case of cervical dystonia occurring in a 33-year-old without personal history of movement disorder but with family history of essential tremor, primigravid, primiparous woman at 1 weeks' amenorrhea, resolved completely after delivery in the course of 3 months. Dystonia never recurred in the following 5 years. Several neurological disorders are known to occur or worsen during pregnancy. As far as we know, this is the second reported case of dystonia occurring during pregnancy, thus confirming that dystonia gravidarum represents a new entity and should be considered in women of reproductive age affected by dystonia, especially when presenting with rapid-onset cervical dystonia. 相似文献
3.
痉孪性斜颈是以颈部肌肉不随意收缩为特点,患者不自主的一阵阵的斜着头的颈部颤动性疾病。笔者在临床工作中,应用灸法治疗本病,取得明显效果,现报道如下。 相似文献
4.
5.
目的探讨百忧解治疗痉挛性斜颈的疗效和机理.方法分析6例痉挛性斜颈的治疗过程.结果6例病人应用百忧解治疗均有效果.结论百忧解治疗痉挛性斜颈是有效的,其发病可能与5-羟色胺浓度降低有关. 相似文献
6.
了解胸锁乳突肌和副神经的解剖关系及在痉挛性斜颈中的作用,为手术治疗痉挛性斜颈的切口 和方法提供解剖依据。方法:观测活体成人男女各100名例胸锁乳突肌长度、宽度,标本65具(男35具,女30具) 该肌长、宽和厚度及其周围结构。结果:见乳突尖向胸锁乳突肌前缘4 cm(上 1/4下 3/4交点)和向下至后缘5 cm (上中1/3交点)处连线深面有副神经(80%±15%),该处是切断胸锁乳突肌及其副神经肌支的最佳部位之一。二腹 肌后腹深面为高位结扎切断副神经点,若再向上易伤颈内静脉。在胸锁乳突肌深面的副神经最大横径为(2.3± 0.5)mm。结论:沿副神经的体表投影线,设计出和投影线相应的手术切口,切断副神经和部分胸锁乳突肌是治疗痉 挛性斜颈的较好部位。 相似文献
7.
Jennifer Horner Ph.D. John E. Riski Ph.D. Bruce A. Weber Ph.D. Blaine S. Nashold Jr. M.D. 《Dysphagia》1993,8(1):29-34
To explore the controversial brainstem theory of spasmodic torticollis, eight consecutively referred patients were examined. Three independent examinations were conducted on the same day: a videofluoroscopic barium swallowing examination, an instrumental speech examination, and a brainstem auditory-evoked potential (BAEP) analysis. Swallowing was normal in two patients; speech physiology, in five; and BAEPs, in all. Normal BAEPs refute the brainstem theory, while abnormalities of speech and swallowing temper this conclusion. Several alternative explanations are proposed.The authors have no commercial or proprietary interest in any product mentioned in this article. 相似文献
8.
Disertori B. Ducati A. Piazza M. Pavani M. 《The Italian Journal of Neurological Sciences》1982,3(4):359-363
A case of spasmodic torticollis with thoracic outlet syndrome observed for over 18 months is presented and discussed.
Maximal head rotation (determining backward gaze) was associated with compression of the brachial plexus between the scaleni muscles and motor, sensory and trophic troubles in the hand. This new syndrome is called after the diviner Manto, quoted by Dante Alighieri in his Divina Commedia (Inferno, XX, 52–56). The etiology was ascribed to subacute toxic effects of methylparathion.
Brainstem Auditory Evoked Potentials (BAEPs) demonstrated severe brainstem involvement, maximal in the mesencephalic structures. Clinical and neurophysiological data improved on treatment with L-5-hydroxytryptophan.
Finally, BAEPs returned to normal.
Sommario Dopo sospetta intossicazione subacuta da metilparatione una giovane donna presenta torcicollo spasmodico extrapiramidale laterale di altissimo grado: con capo girato all'indietro e nocumento secondario al plesso brachiale. Proponiamo il nome di Sindrome di Manto. Con i potenziali evocati acustici del tronco cerebrale (BAEPs) abbiamo dimostrato alterazioni prevalentemente mesencefaliche controlaterali. I tracciati si sono normalizzati progressivamente in rapporto alla guarigione clinica correlata a terapia con L-5-idrossitriptofano.相似文献
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10.
Adamos Hadjipanayis Elisavet Efstathiou David Neubauer 《Journal of paediatrics and child health》2015,51(7):674-678
Benign paroxysmal torticollis is probably an under‐diagnosed condition of infancy. It is a self‐limiting disorder characterised by periods of unusual, sustained posture of the head and neck, during which the head tilts to one side. Episodes are often accompanied by marked autonomic features, irritability, ataxia, apathy and drowsiness. They last several hours to a few days and are often recurring every few weeks. They subside within the pre‐school years; however, during later childhood, there is a tendency to develop migraine. Three cases of benign paroxysmal torticollis are presented and are compared with cases in the literature. A telephone survey has been conducted to determine what is the general awareness of paediatricians of this condition in Cyprus. Eighty‐two paediatricians were randomly selected out of 235 paediatricians. All of them agreed to participate. Our cases revealed that benign paroxysmal torticollis may coexist with other problems during infancy. The telephone survey showed that only two out of eighty‐two (2.4%) of the paediatricians are aware of the condition, and none of them was confident regarding the management. Our telephone survey clearly shows that Cypriot paediatricians are not familiar with benign paroxysmal torticollis in infancy which is a benign, self‐limiting disorder. It is essential to recognise the condition and to reassure parents of its benign course and not to be misdiagnosed for other disorders, such as epileptic seizures. We have shown again that benign paroxysmal torticollis in infancy may coexist with motor delay and hearing problems. 相似文献