title: Selective peripheral denervation in patients with spasmodic torticollis.
abstract: The results of selective peripheral denervation of the involved muscles in 35 patients with spasmodic torticollis are reported. We modified the operation first described by Bertrand. Follow-up was 3 months to 2.5 years in 34/35 patients. 73% noticed a significant improvement or disappearance of dystonia and pain following surgery and physiotherapy for 3 months postoperatively. Selective peripheral denervation is recommended for patients with spasmodic torticollis of at least 1-2 years duration which is resistant to conservative treatment. It may also be used in patients who do not respond to injection of botulinum A toxin or who develop resistance to this kind of therapy.
authors.affiliation: Neurochirurgische Universitätsklinik Ulm, Günzburg, BRD.
authors.forename: V
authors.initials: V
authors.lastname: Braun
authors.forename: H P
authors.initials: HP
authors.lastname: Richter
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D009121:Muscle Denervation; D012189:Retrospective Studies; D013035:Spasm / Q000601:surgery*; D014103:Torticollis / Q000601:surgery*