期刊文献+

微创手术治疗痉挛性斜颈 被引量:5

Micro-wounds treatment for spasmodic torticollis
下载PDF
导出
摘要 目的探讨痉挛性斜颈的微创手术治疗方法。方法通过详尽的术前检查和定位诊断,制定个性化的手术方案治疗8例痉挛性斜颈,并评价其疗效。结果4例扭转型和2例侧倾型患者痊愈,2例后仰型患者好转。结论术前详细的临床和影像学检查,神经阻滞试验明确诊断,术中神经电生理监测引导,个性化手术方案可有效治疗痉挛性斜颈,而且可以减少正常神经功能的破坏。 Objective To study the micro-wounds treatment of sposmodic torticollis (ST) Method 8 cases of ST were individualized treated under complete examination and topical diagnosis. The clinical effects were evaluated postoperatively. Results 4 cases of rotational and 2 cases of laterocollis recovered, 2 cases of Anterocollis were markedly improved. Conclusions Complete physical eramination and imaging, preoperative nerve block test, intraoperative neurophysiological monitoring and individualized therapy are important to the surgery.
出处 《临床神经外科杂志》 CAS 2008年第3期123-125,共3页 Journal of Clinical Neurosurgery
关键词 痉挛性斜颈 神经阻滞试验 神经电生理监测 手术治疗 spasmodic torticollis nerve block test neurophysiological monitoring surgical treament
  • 相关文献

参考文献11

  • 1[2]Nutt JG,Muenter MD,Aronson A,.Epidemiology of focal and generalized dystonia in Rochester Minnesota[J].Mov Disord,1988,3:188.
  • 2[3]Cardoso F,Jankovic J.Dystonia and dyskinesia[J].Psychiatr Clin AM,1997,20:821.
  • 3刘宁疆,张本恕,谢炳玓,赵强,陶华英.肌张力障碍的肌电图表现[J].脑与神经疾病杂志,2006,14(2):91-94. 被引量:2
  • 4[5]Greene P,Fahn S,Diamond B.Development of resistance to botulinum toxin type A in patients with torticollis[J].Mov Disord,1994,9:213.
  • 5[6]Dressler D,Bigalke H,Benecke R.Botulinum toxin type B in antibody-induced botulinum toxin type A therapy failure[J].Neuro,2003,250:967.
  • 6[7]Freckmann N,Hagenah R,Hermann HD,.Bilateral micro-surgicallysis of the spinal accessory nerve roots for treatment of spasmodic torticollis:Follow up of 33 cases[J].Acta Neurochir(Wien).1986(1-2):47.
  • 7[8]Jho HD,Jannetta PJ.Microvascular decompression for spasmodic torticollis[J].Acta Neurochir (Wien),1995,134(1-2):21.
  • 8[9]Chen Xin-Kang.Selective resection and deneration of cervical muscles in the treatment of spasmodic torticollis:Results in 60 cases[J].Neurosurgery,1981,8:680.
  • 9[10]Chen XK,Ji SX.Operative treatment of bilateral retrocollis[J].Acta Neurochir(Wien),1991,113:180.
  • 10陈信康,马安保,梁健,姬绍先,朱光华.三联术治疗痉挛性斜颈[J].功能性和立体定向神经外科杂志,1997,10(2):15-17. 被引量:13

二级参考文献7

  • 1Rostasy K,Augood S J,Hewett JW,et al.Torsin A protein and neuropathology in early onset generalized dystonia with GAG deletion.Neurobiol Dis 2003;12:11~24
  • 2Erdal J,Ostergaard L,Fuglsang-Frederiksen.Long-term botulinum toxin treatment of cervical dystonia-EMG changes in injected and noninjected muscles.Clin Neurophysiol.1999 Sep;110(9):1650~4
  • 3Van Gerpen JA,Matsumoto JY,Ahlskog JE,et al.Utility of an EMG mapping study in treating cervical dystonia.Muscle Nerve.2000 Nov;23(11):1752~6
  • 4Masuhr F,Wissel J,Muller J,Scholz U,et al.Quantification of sensory trick impact on tremor amplitude and frequency in 60 patients with head tremor.Mov Disord.2000 Sep; 15(5):960-4.
  • 5Trost M.Dystonia update.Curr Opin Neurol.2003 Aug;16(4):495~500
  • 6Hashimoto T.Neuronal activity in the globus pallidus in primary dystonia and off-period dystonia.J Neurol.2000 Sep;247 Suppl 5:V49~52
  • 7Zhuang P,Li Y,Hallett M.Neuronal activity in the basal ganglia and thalamus in patients with dystonia.Clin Neurophysiol.2004 Nov;l15(ll):2542~57

共引文献14

同被引文献36

  • 1姬绍先,陈信康,周国俊,马安保,梁健,熊左隽,裴圣广.痉挛性斜颈的临床分型和手术治疗[J].立体定向和功能性神经外科杂志,2004,17(6):341-344. 被引量:23
  • 2陈信康,林少华,马安保,黄汉添,林菲,廖巍,胡子慧,梁健,李亮明.选择性周围神经切断和肌切断治疗痉挛性斜颈400例结果[J].中华神经外科杂志,2005,21(1):30-34. 被引量:24
  • 3于炎冰,张黎,马延山,李伟,郭协力.改良Foerster-Dandy手术治疗痉挛性斜颈[J].中华神经外科杂志,2005,21(2):88-90. 被引量:28
  • 4陈信康,林少华.痉挛性斜颈的EMG分型、分级及手术设计[J].中国微侵袭神经外科杂志,2006,11(11):484-487. 被引量:11
  • 5D Jayne, AJ Lees, GM Stem. Remission in spasmodic tortieollis[J]. j Neurol Neurosurg Psychiatry, 1984 , 47 (11) :1236-1237.
  • 6N Freckmann, R Hagenah, H D Herrmann, D Miiller. Treatment of neurogenic torticollis by microvascular lysis of the accessory nerve roots-- indication, technique, and first results [J]. Acta Neurochirurgiea, 1981, 59: 167 - 175.
  • 7D M Simpson, J--M Graeies, H K Graham, et al. As- sessment: botulinum neurotoxin for the treatment of spasticity (an evidence - based review) : report of the therapeutics and technology assessment subcommittee of the American Academy of Neurology [J]. Neurology, 2008,70 : 1691- 1698.
  • 8Allison Brashear. Botulinum toxin type A in the treatment of patients with cervical dystonia[J]. Biologies: Targets and Therapy,2009,3: 1-7.
  • 9M Houser, G Sheean, A Lees. Further studies using high- er doses of botulinum toxin type F for torticollis resistant to botulinum toxin A[J]. J Neurol Neurosurg. Psychia- try, 1998,64(5) : 577-580.
  • 10Ashley Collins, Adnan Nasir. Topical botulinum toxin [J], The journal of Clinical and Aesthetic Dermatotogy, 2010,3:3.

引证文献5

二级引证文献27

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部