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近年来当发现局灶性肌张力障碍可用肉毒杆菌毒素(BOTOX)治疗,其中局灶性肌张力障碍性痉挛性斜颈(TS)可能是最常见的表现。局部注射BOTOX 疗法成功的关键在于对肌张力障碍运动肌肉的识别。TS 常按优势头位分为旋转性斜颈、颈侧及后/前倾,旋转性斜颈最为常见,颈前倾较罕见。但仅靠临床检查常很难确切的分类,且不明确,一个特殊的异常头位是否总是由同样肌肉的肌张力障碍活动所引起则用该法可解决这些问题。作者应用多导肌动描记器(Polymyograph)研究了100例TS 患者的临床及EMG 活动。肌动描记常规记录双侧胸锁乳突肌、夹肌及斜方肌,6组肌肉同时记录。100例TS 忠者中92例为特发病,8例为可能的继发病。其中旋转性斜颈72例,颈侧倾18例,颈后倾10例。TS 不同类型
In recent years, when focal dystonia was found to be treated with botulinum toxin (BOTOX), focal dystonia (TS) may be the most common manifestation. The key to the success of a local injection of BOTOX therapy is the identification of motor muscles for dystonia. TS often according to the advantages of head position is divided into rotating torticollis, neck and posterior / forward, the most common rotation torticollis, anterior cervical lean more rare. However, clinical examination is often difficult to accurately classify, and is not clear, whether a particular abnormal head position is always caused by the same muscular dystonic activity, this method can be used to solve these problems. The authors used polymyographs to investigate the clinical and EMG activities in 100 patients with TS. Myosin routinely recorded bilateral sternocleidomastoid muscle, muscle and trapezius muscles, 6 groups of muscles simultaneously recorded. Of the 100 cases of TS loyal, 92 cases were idiopathic and 8 cases were possible secondary. Including rotation of torticollis 72 cases, 18 cases of cervical roll, 10 cases of posterior cervical lean. TS different types