A simplified ultrasonography-guided approach for neurotoxin injection into the obliquus capitis inferior muscle in spasmodic torticollis

Journal of Neural Transmission
Uwe WalterUrban M Fietzek

Abstract

The obliquus capitis inferior (OCI) muscle may be crucially involved in generating the tremulous component of spasmodic torticollis. This study was undertaken to evaluate the efficacy of a simplified ultrasonography-guided approach of botulinum neurotoxin injection into the OCI in the management of spasmodic torticollis. Here, a novel off-plane technique of ultrasonography-guided botulinum neurotoxin injection into the OCI is demonstrated on video. We investigated its effect in five patients with tremulous torticollis with only partial response to conventional injection technique not injecting OCI. On ultrasonography the OCI and its neighboring structures (greater occipital nerve, vertebrae C1 and C2) were clearly displayed. Unlike the previously proposed approach with axial OCI imaging and in-plane medio-lateral needle insertion, we applied here an off-plane needle insertion technique. With this, the ultrasonography guidance of needle insertion was easier using the sagittal imaging plane rather than the axial plane. Compared to botulinum neurotoxin injection into more superficial neck muscles only, additional ultrasonography-guided botulinum neurotoxin injection into the OCI led to a higher benefit (self-rated improvement of c...Continue Reading

References

Jan 1, 1987·Movement Disorders : Official Journal of the Movement Disorder Society·M F BrinR E Lovelace
Sep 26, 1997·Movement Disorders : Official Journal of the Movement Disorder Society·J WisselW Poewe
Jul 16, 2008·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Richard C HallgrenJacob J Rowan
May 21, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A AlbaneseJ Valls-Solé
Aug 20, 2010·Movement Disorders : Official Journal of the Movement Disorder Society·Urban M FietzekSteffen Berweck
Sep 14, 2011·Movement Disorders : Official Journal of the Movement Disorder Society·Joanna M FlowersMarie-Helene Marion
Dec 20, 2011·Experimental Brain Research·Catharina S M Bexander, Paul W Hodges
Jun 1, 2012·Movement Disorders : Official Journal of the Movement Disorder Society·Hiroaki FujimotoHideki Mochizuki
Jul 23, 2013·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·Matthew E PontellEwarld Marshall
Jan 21, 2014·Clinical Neurology and Neurosurgery·Veronica MacchiRaffaele De Caro
Jul 22, 2014·Expert Review of Neurotherapeutics·Uwe Walter, Dirk Dressler
Dec 31, 2014·Journal of Neural Transmission·Axel SchrammWolfgang H Jost
Sep 15, 2016·Journal of Neural Transmission·L Tatu, W H Jost
Aug 15, 2017·Parkinsonism & Related Disorders·A SchrammT Bäumer

❮ Previous
Next ❯

Citations

Oct 24, 2020·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Ian O BledsoeMarta San Luciano
Jan 6, 2021·Journal of Neurology·Alexandre KreislerXavier Demondion

❮ Previous
Next ❯

Related Concepts

Related Feeds

Botulism (ASM)

Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium clostridium botulinum. Discover the latest research on botulism here.

Botulism

Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium clostridium botulinum. Discover the latest research on botulism here.

Related Papers

Ryōikibetsu shōkōgun shirīzu
M Nomoto
Journal of the Royal Society of Medicine
A P Moore
© 2022 Meta ULC. All rights reserved