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Remission in spasmodic torticollis.

D Jayne, A J Lees, G M Stern

    Journal of Neurology, Neurosurgery, and Psychiatry
    |November 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

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    Spasmodic torticollis can achieve sustained remission in 23% of patients, with a median remission duration of 8 years. These findings suggest conservative management may be more effective than previously thought.

    Area of Science:

    • Neurology
    • Neurosurgery
    • Physical Medicine and Rehabilitation

    Background:

    • Spasmodic torticollis, also known as cervical dystonia, is a chronic neurological movement disorder.
    • Treatment options for spasmodic torticollis range from conservative therapies to surgical interventions.

    Observation:

    • This study followed 26 patients diagnosed with spasmodic torticollis for a median of 12 years.
    • Data collected included the frequency and duration of remission, as well as the time to remission.

    Findings:

    • A sustained remission rate of 23% was observed in the patient cohort.
    • The median duration of remission was 8 years, with a median duration of torticollis before remission of 3 years.
    • These remission rates and durations appear more favorable compared to previously published literature.

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    Implications:

    • The favorable remission rates suggest that conservative management strategies for spasmodic torticollis may be more effective than often assumed.
    • These findings warrant careful consideration before opting for surgical treatment, potentially altering current clinical practice guidelines.
    • Further research into the factors contributing to sustained remission could optimize non-surgical treatment approaches.