Management of Anterocapitis and Anterocollis: A Novel Ultrasound Guided Approach Combined with Electromyography for Botulinum Toxin Injection of Longus Colli and Longus Capitis
被引:6
|
作者:
Farrell, Michael
论文数: 0引用数: 0
h-index: 0
机构:
MedStar Georgetown Univ, Natl Rehabil Hosp, Washington, DC 20010 USAMedStar Georgetown Univ, Natl Rehabil Hosp, Washington, DC 20010 USA
Farrell, Michael
[1
]
Karp, Barbara I.
论文数: 0引用数: 0
h-index: 0
机构:
NINDS, Bldg 36,Rm 4D04, Bethesda, MD 20892 USAMedStar Georgetown Univ, Natl Rehabil Hosp, Washington, DC 20010 USA
Karp, Barbara I.
[2
]
Kassavetis, Panagiotis
论文数: 0引用数: 0
h-index: 0
机构:
NINDS, Bldg 36,Rm 4D04, Bethesda, MD 20892 USAMedStar Georgetown Univ, Natl Rehabil Hosp, Washington, DC 20010 USA
Chemodenervation of cervical musculature using botulinum neurotoxin (BoNT) is established as the gold standard or treatment of choice for management of Cervical Dystonia (CD). The success of BoNT procedures is measured by improved symptomology while minimizing side effects and is dependent upon many factors including: clinical pattern recognition, identifying contributory muscles, BoNT dosage, and locating and safely injecting target muscles. In patients with CD, treatment of anterocollis (forward flexion of the neck) and anterocaput (anterocapitis) (forward flexion of the head) are inarguably challenging. The longus Colli (LoCol) and longus capitis (LoCap) muscles, two deep cervical spine and head flexor muscles, frequently contribute to these patterns. Localizing and safely injecting these muscles is particularly challenging owing to their deep location and the complex regional anatomy which includes critical neurovascular and other structures. Ultrasound (US) guidance provides direct visualization of the LoCol, LoCap, other cervical muscles and adjacent structures reducing the risks and side effects while improving the clinical outcome of BoNT for these conditions. The addition of electromyography (EMG) provides confirmation of muscle activity within the target muscle. Within this manuscript, we present a technical description of a novel US guided approach (combined with EMG) for BoNT injection into the LoCol and LoCap muscles for the management of anterocollis and anterocaput in patients with CD.
机构:
Univ Calif San Francisco, Med Ctr, Dept Neurol, San Francisco, CA 94143 USA
SFVAMC, Parkinsons Dis Res Educ & Clin Ctr, San Francisco, CA USAUniv Calif San Francisco, Med Ctr, Dept Neurol, San Francisco, CA 94143 USA
Glass, Graham A.
Ku, Stephen
论文数: 0引用数: 0
h-index: 0
机构:
SFVAMC, Parkinsons Dis Res Educ & Clin Ctr, San Francisco, CA USAUniv Calif San Francisco, Med Ctr, Dept Neurol, San Francisco, CA 94143 USA
Ku, Stephen
Ostrem, Jill L.
论文数: 0引用数: 0
h-index: 0
机构:
SFVAMC, Parkinsons Dis Res Educ & Clin Ctr, San Francisco, CA USAUniv Calif San Francisco, Med Ctr, Dept Neurol, San Francisco, CA 94143 USA
Ostrem, Jill L.
Heath, Susan
论文数: 0引用数: 0
h-index: 0
机构:
SFVAMC, Parkinsons Dis Res Educ & Clin Ctr, San Francisco, CA USAUniv Calif San Francisco, Med Ctr, Dept Neurol, San Francisco, CA 94143 USA
Heath, Susan
Larson, Paul S.
论文数: 0引用数: 0
h-index: 0
机构:
SFVAMC, Parkinsons Dis Res Educ & Clin Ctr, San Francisco, CA USA
Univ Calif San Francisco, Dept Neurosurg, San Francisco, CA 94143 USAUniv Calif San Francisco, Med Ctr, Dept Neurol, San Francisco, CA 94143 USA