How to treat spasmodic torticollis

Update Date: 2021-05-14 Source: Network

summary

Any kind of disease will have corresponding clinical symptoms, we only know the cause of disease and clinical symptoms can take appropriate methods for treatment. Spasmodic torticollis is mainly cured by surgery. Now let's talk about the treatment of spasmodic torticollis.

How to treat spasmodic torticollis

First: selective peripheral neurotomy for spasmodic torticollis: this method mainly cuts off the posterior branch of the cervical nerve root, and the scope of cutting off depends on the number of spasmodic muscles. The reason is that all the posterior cervical muscles are innervated by the posterior branches of the nerves from 1 to 7. If necessary, it can be cut to neck 7. Microvascular decompression of accessory nerve root was performed to open foramen magnum and upper cervical canal.

Second: surgical treatment, anterior cervical nerve root, accessory nerve root amputation, also known as foester dandy operation. The anterior roots of the superior cervical 1-3 nerve were cut off under microscope, and the accessory nerve roots were cut off at the vertebral artery level. If the postoperative effect is not satisfactory, the accessory nerve branch of the diseased side can be further removed in the neck. Stereotactic surgery can be used to destroy the medial side of the ventrolateral thalamic nucleus if the muscle spasm is more than the cervical segment, or the effect of other treatments is not significant.

Third: the head posture of different types of spasmodic torticollis in selective cervical myotomy and neurotomy is composed of the contraction of related muscles, not the result of the participation of all neck muscles. It is unnecessary to cut off bilateral cervical nerve roots and accessory nerve roots to avoid unnecessary complications.

matters needing attention

Surgical treatment is achieved by cutting off some useless protruding parts under the microscope. Postoperative care is also necessary to help the recovery of the disease as soon as possible. As the medical level is constantly improving, the risk and success rate of surgery can also be assured.