颈部肌张力障碍的再认识

肌张力障碍是一种运动障碍性疾病,临床特点为持续性或间断性肌肉收缩,导致异常、重复运动或姿势。颈部肌张力障碍是最常见的临床类型,肉毒毒素注射是一线治疗方法,但部分患者疗效欠佳。在头颈部功能解剖学基础上形成的＂头-颈＂概念的引入,将颈部肌张力障碍分为8种基本类型,有助于临床医师精确分析颈部肌张力障碍的异常姿势,改善肉毒毒素治疗效果。...

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Bibliographic Details
Published in中国现代神经疾病杂志 Vol. 17; no. 2; pp. 105 - 109
Main Author 王琳 万新华
Format Journal Article
LanguageChinese
Published 100730,中国医学科学院北京协和医学院北京协和医院神经科 2017
Subjects
张力失调
综述
颈肌
张力失调
Neck muscles
综述
Dystonia
Review
颈肌
Online AccessGet full text
ISSN1672-6731
DOI10.3969/j.issn.1672-6731.2017.02.005

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Summary:肌张力障碍是一种运动障碍性疾病,临床特点为持续性或间断性肌肉收缩,导致异常、重复运动或姿势。颈部肌张力障碍是最常见的临床类型,肉毒毒素注射是一线治疗方法,但部分患者疗效欠佳。在头颈部功能解剖学基础上形成的＂头-颈＂概念的引入,将颈部肌张力障碍分为8种基本类型,有助于临床医师精确分析颈部肌张力障碍的异常姿势,改善肉毒毒素治疗效果。
Bibliography:Dystonia is a movement disorder characterized by sustained or intermittent musclecontractions causing abnormal,often repetitive,movements,postures,or both.Botulinum toxin（BTX） hasbeen recommended as the first-line treatment choice for the most common subtype,i.e.cervical dystonia.But some patients respond poor to BTX injection.In the new ＂collum-caput（COL-CAP）＂ concept,which isgenerated based on cervical functional anatomy,the abnormal postures of cervical dystonia are divided into8 basic types instead of previous 4.The concept is helpful for clinicians to analyze the abnormal postureprecisely,and improve the efficacy of BTX injection thereafter.
WANG Lin, WAN Xin-hua（ Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China）
Dystonia; Neck muscles; Review
12-1363/R
ISSN:1672-6731
DOI:10.3969/j.issn.1672-6731.2017.02.005