We reviewed the efficacy and adverse effects of repeated botulinum toxin injections into hyperactive neck muscles of 107 successive patients with spasmodic torticollis. They received 510 injection treatments over a median period of 15 months (range 3-42 months). One patient failed to benefit at all, but 101 (95%) patients reported considerable (moderate or excellent) benefit from at least one t...

Seventeen patients with choreiform, athetoid, or ballistic involuntary movements, or with spasmodic torticollis, were treated with tetrabenazine in doses of 25 to 200 mg daily for periods varying from two weeks to more than six months. Randomized ciné film of the patients' involuntary movements, taken before, during, and after treatment was assessed individually by seven `blind' observers. Eigh...

N eck pain in children is not an uncommon presenting complaint in a paediatric accident and emergency department. Sheffield has a population of approximately 97 000 children of whom 33 874 attended the accident and emergency department at the children’s hospital in a one year period from 1998 to 1999. Of these, about 817 had pain in the neck region as part of their presenting complaint. Neck pa...

Objective. A study to determine the efficacy of chloroethane spray compared to normal saline in the treatment of spastic torticollis in children and adolescents. Hypothesis. Chloroethane spray is more superior to normal saline for the treatment of spastic torticollis in children and adolescents in the pediatric emergency room. Design. Prospective randomized study. Setting. Urban inner-city hosp...

OBJECTIVE: Botulinum A toxin has been reported to provide excellent symptomatic relief for patients with dystonia. To analyse the treatment, complications, and outcome of patients receiving botulinum A toxin injection, the case records of 170 patients attending the Botox Clinic at the Kwong Wah Hospital from 1 December 1992 to 31 December 1996 were reviewed. Of these 170 patients, 130 (76.5%) h...

This arlicle was acceptedfor publicalionjanuary 31, 1992 AShortening of the sternocleidomastoid muscle causes the neck to laterally flex and the chin to rotate toward the opposite side. The etiology of "wry neck," or torticollis, is unknown but the immediate cause of deformity is fibrosis within the sternocleidomastoid muscle. When surgery for congenital muscular torticollis is the course of co...

OBJECTIVES Few studies have investigated the injection patterns for botulinum toxin type A for the treatment of heterogeneous forms of cervical dystonia (CD). This large, prospective, open-label, multicentre study aimed to evaluate the effectiveness and safety of 500 U botulinum toxin A for the initial treatment according to a standardised algorithm of the two most frequent forms of CD, predomi...

Idiopathic spasmodic torticollis is a form of focal dystonia aVecting the neck. It is characterised by involuntary repetitive or sustained neck muscle contractions leading to abnormal head postures and impaired control of head movement. With an estimated prevalence of 9/100 000 spasmodic torticollis is the most common focal dystonia. Onset peaks around the age of 40 and there is a female prepon...

Idiopathic spasmodic torticollis is a form of focal dystonia aVecting the neck. It is characterised by involuntary repetitive or sustained neck muscle contractions leading to abnormal head postures and impaired control of head movement. With an estimated prevalence of 9/100 000 spasmodic torticollis is the most common focal dystonia. Onset peaks around the age of 40 and there is a female prepon...

BACKGROUND Congenital muscular torticollis is the third most common congenital musculoskeletal anomaly after dislocation of the hip and clubfoot. When diagnosed early, it is obvious that it can be managed with good or excellent results. The aim of this prospective study was to determine the efficacy of surgery in neglected adult cases. METHODS From January 2003 to June 2007, 18 adult skeletal...