Phenol block for cervical dystonia: effects and side effects.

Abstract:

OBJECTIVE:To report on the effectiveness and side effects of 2% phenol block in patients with cervical dystonia (CD). DESIGN:Case series. SETTING:A rehabilitation department at a university medical center in Japan. PARTICIPANTS:Sixteen patients (11 men, 5 women; mean age +/- standard deviation, 43.4+/-11.2y) with CD. The cause of the CD was unknown, and all cases were refractory to the oral medication and rehabilitation therapy. INTERVENTION:Two percent phenol blocks guided by electromyography. MAIN OUTCOME MEASURES:A blind analysis by neurologists of the Tsui score before and after 2 weeks of treatment with phenol block. Side effects were evaluated by another neurologist and patient report. RESULTS:There was significant (P=.0002) improvement in neck movement and position, based on a reduced Tsui score, after the phenol block. However, 4 patients had a complication of sensory disturbance of the transverse cutaneous nerve of the neck area. The sensory disturbances decreased gradually and disappeared within 3 months, whereas the effects of the phenol block continued. CONCLUSIONS:Phenol block can reduce the impact of CD that is refractory to therapy.

journal_name

Arch Phys Med Rehabil

authors

Takeuchi N,Chuma T,Mano Y

doi

10.1016/j.apmr.2003.10.012

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

1117-20

issue

7

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(04)00005-X

journal_volume

85

pub_type

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