Dystonic Amyotrophy

Freiman, I; Luwisch, J.

doi:10.1212/wnl.6.2.108

Cited by 7 publications

(1 citation statement)

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“…Early cases were treated by laminectomy alone. 4,5,7,15 In the 1980s, other reports showed favorable results from anterior decompression and fusion. [16][17][18] Still others have reported on the use of both anterior and posterior decompressions.…”

Section: Management Strategiesmentioning

confidence: 99%

Surgical Treatment of Cervical Myeloradiculopathy Associated with Movement Disorders

Wong

Massicotte

Fehlings

2005

Journal of Spinal Disorders & Techniques

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Movement disorders cause premature cervical spondylosis most commonly involving the C3-C4 and C4-C5 levels. Ventral pathology with kyphotic angulation requires corpectomy or discectomy with or without posterior decompression and reconstruction. Decompression should always be combined with segmental internal fixation. Perioperative use of botulinum toxin and halo vest immobilization can increase the rate of clinical success but requires vigilance to minimize complications. Laminectomy with lateral mass fixation may be used successfully in the absence of kyphotic deformity.

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Section: Management Strategiesmentioning

confidence: 99%

Surgical Treatment of Cervical Myeloradiculopathy Associated with Movement Disorders

Wong

Massicotte

Fehlings

2005

Journal of Spinal Disorders & Techniques

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Myelopathy caused by tics in an adolescent, associated with T2 signal intensity changes of the spinal cord

et al. 2002

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Chang¹,

Shah²,

Miller³

2003

J Pediatr Orthop

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The development of nontraumatic atlantoaxial instability in children with spastic cerebral palsy has not been reported. The authors present three patients with severe spastic quadriplegia who developed C1-C2 instability and cervical myelopathy at mean age 12.6 years. These patients demonstrated a similar clinical picture with symptoms attributed to cervical myelopathy in varied severity including apneic episodes, opisthotonus, alteration in muscle tone, torticollis, respiratory problems, hyperreflexia, and bradycardia. Patient 1 was scheduled for surgery but died due to an apneic episode. Patient 2 refused surgery and has been followed for 3 years while his neurologic condition remains unchanged. Patient 3 underwent occipitocervical decompression and fusion, recovered neurologically, and resumed his previous functional skills. Patients demonstrating considerable functional deterioration or insidious change in their established neurologic status should undergo detailed screening to rule out developing upper cervical instability. Early surgical intervention consisting of spinal decompression and fusion may prevent the development of myelopathy.

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Dystonic Amyotrophy

Cited by 7 publications

References 0 publications

Surgical Treatment of Cervical Myeloradiculopathy Associated with Movement Disorders

Surgical Treatment of Cervical Myeloradiculopathy Associated with Movement Disorders

Myelopathy caused by tics in an adolescent, associated with T2 signal intensity changes of the spinal cord

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