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Published on: March 3, 2014
[Cervical dystonia: ways to improve the effectiveness of botulinum therapy]
1Vishnevsky 3-rd Central Military Clinical Hospital, Ministry of Defense of Russia, Krasnogorsk, Russia.
Abstract:
Cervical dystonia is one of the most complex movement disorders, in which type A botulinum toxin (BTA) preparations are used. A significant number of types of dystonic installation of the head and neck determines a large number of different muscle patterns, sometimes with outwardly similar manifestations. Objective difficulties in choosing the actual pathological muscle pattern for subsequent injection in some cases determine the low effectiveness of botulinum therapy. Given this situation, it is necessary to adapt the anatomical approach to the correct choice of dystonic muscles in order to improve the results of botulinum therapy of cervical dystonia.
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