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Involvement of obliquus capitis inferior muscle in dystonic head tremor.

Abstract：

INTRODUCTION:Head tremor is a common feature in cervical dystonia (CD) and often less responsive to botulinum neurotoxin (BoNT) treatment than dystonic posturing. Ultrasound allows accurate targeting of deeper neck muscles. METHODS:In 35 CD patients with dystonic head tremor the depth and thickness of the splenius capitis (SPL), semispinalis capitis and obliquus capitis inferior muscles (OCI) were assessed using ultrasound. Ultrasound guided EMG recordings were performed from the SPL and OCI. RESULTS:Burst-like tremor activity was present in both OCI in 25 and in one in 10 patients. In 18 patients, tremor activity was present in one SPL and in 2 in both SPL. Depth and thickness of OCI, SPL and semispinalis capitis muscles were very variable. CONCLUSION:Muscular activity underlying tremulous CD is most commonly present in OCI. Due to the variability of muscle thickness, we suggest ultrasound guided BoNT injections into OCI.

journal_name

Parkinsonism Relat Disord

journal_title

Parkinsonism & related disorders

authors

Schramm A,Huber D,Möbius C,Münchau A,Kohl Z,Bäumer T

doi

10.1016/j.parkreldis.2017.07.034

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

119-123

eissn

1353-8020

issn

1873-5126

pii

S1353-8020(17)30281-X

journal_volume

44

pub_type

杂志文章

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