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Related Experiment Videos

Spasmodic torticollis: a combined clinical study.

W B Matthews, P Beasley, W Parry-Jones

    Journal of Neurology, Neurosurgery, and Psychiatry
    |June 1, 1978
    PubMed
    Summary

    Spasmodic torticollis has a poor prognosis, with limited recovery observed in most patients. The condition significantly impacts quality of life, without clear links to vestibular issues or specific personality traits.

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    Clinical otolaryngology and allied sciences·1999

    Area of Science:

    • Neurology
    • Otolaryngology
    • Psychology

    Background:

    • Spasmodic torticollis, a form of dystonia, presents a significant clinical challenge.
    • Previous research suggested potential reflex influences and vestibular dysfunction as contributing factors.

    Purpose of the Study:

    • To evaluate the prognosis of spasmodic torticollis.
    • To investigate potential reflex influences and vestibular dysfunction.
    • To assess psychological factors and the condition's impact.

    Main Methods:

    • A cohort of 30 patients with spasmodic torticollis was studied.
    • Investigations included assessments of reflex influences and detailed otological examinations.
    • Psychological assessments were conducted to evaluate premorbid personality and the condition's effects.

    Main Results:

    • Only one patient achieved a full and sustained recovery, indicating a poor prognosis.
    • Investigational findings did not support previously reported reflex influences on spasm.
    • Otological investigations did not link spasmodic torticollis to vestibular dysfunction.
    • Psychological assessments revealed no premorbid personality deviations but confirmed severe adverse effects.

    Conclusions:

    • Spasmodic torticollis is associated with an unexpectedly poor prognosis.
    • The condition's etiology does not appear to be primarily linked to vestibular dysfunction or specific reflex influences.
    • The severe adverse psychological impact of spasmodic torticollis is a significant clinical consideration.

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