Spasmodic torticollis. Results in 71 surgically treated patients

Sorensen, Bruce F.; Hamby, Wallace B.

doi:10.1001/jama.194.7.706

Cited by 10 publications

(4 citation statements)

References 5 publications

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“…Because the surgical techniques and the validated rating scale were not yet standardized, the efficacy and safety of the procedure varied among subsequent studies. [ 15 , 27 ] Friedman et al . again refined the technique, using electrical stimulation to selectively section the intradural upper three cervical anterior roots and the rootlets of the SAN, mediating SCM muscle contraction.…”

Section: Discussionmentioning

confidence: 99%

“…[ 19 ] The McKenzie-Dandy operation has been abandoned following a report associating it with an increased risk of cerebrospinal fluid leakage, swallowing difficulties (dysphagia), vascular injuries, phrenic or trapezius paralysis, and neck instability. [ 6 - 8 , 12 , 27 ]…”

Section: Discussionmentioning

confidence: 99%

“…The authors have described a case in which SPD failed to provide significant symptomatic relief, necessitating an intradural rhizotomy procedure (modified McKenzie-Dandy operation)[ 14 , 15 , 22 , 27 ] as a last resort. We also examined the literature to determine what other options are available to those who failed SPD.…”

Section: Introductionmentioning

confidence: 99%

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Modified McKenzie-Dandy operation for a cervical dystonia patient who failed selective peripheral denervation: A case report and literature review

Jetjumnong¹,

Norasetthada²

2022

Surgical Neurology International

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Background: Cervical dystonia (CD) is a rare and difficult-to-treat disorder. Various neurosurgical options are available, each with its own set of advantages and disadvantages. We investigated using the modified McKenzie-Dandy operation for a patient with CD who failed selective peripheral denervation (SPD). Case Description: A 42-year-old man presented left-sided rotational torticollis for 3 years. He was referred for surgery after treating with a variety of oral medications and repeated botulinum toxin injections that became ineffective. For the first operation, the patient underwent SPD (modified Bertrand’s operation); unfortunately, the postoperative outcome was unsatisfactory, and the operation was considered a failure. After his symptoms did not improve after 6 months, the modified McKenzie-Dandy operation was performed. Immediately following surgery, he experienced satisfactory outcomes. He was able to resume his normal activities and employment after 1 month after recovering from his temporary swallowing difficulties. He only complained of minor neck pain and no recurrence was observed after 3 years follow-up. Conclusion: For patients who have failed SPD, a modified McKenzie-Dandy procedure is a feasible and effective option. The procedure is relatively safe when performed properly, and the long-term effects can be maintained.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Modified McKenzie-Dandy operation for a cervical dystonia patient who failed selective peripheral denervation: A case report and literature review

Jetjumnong¹,

Norasetthada²

2022

Surgical Neurology International

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“…Since then, several mainly retrospective, open-label clinical trials have been performed [83][84][85][86][87]. Patients selected have been refractory to medication and then botulinum toxin once it was available.…”

Section: Selective Peripheral Denervationmentioning

confidence: 99%

Surgical therapy for dystonia

Brontë‐Stewart

2003

Curr Neurol Neurosci Rep

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Surgical treatments for dystonia have been available since the early 20th century, but have improved in their efficacy to adversity ratio through a combination of technologic advances and better understanding of the role of the basal ganglia in dystonia. The word "dystonia" describes a phenotype of involuntary movement that may manifest from a variety of conditions. Dystonia may affect only certain regions of the body or may be generalized. It appears to be critical to determine whether the etiology underlying the dystonia is "primary" (ie, occurring from a genetic or idiopathic origin) or "secondary" (ie, occurring as a result of structural, metabolic, or neurodegenerative disorders). Secondary dystonias are far more common than primary dystonias. Primary dystonias respond well to pallidotomy or deep brain stimulation of the internal segment of the globus pallidum, whereas secondary dystonias appear to respond partially at best. Limited historic and current data suggest that the thalamus may be a promising target for the treatment of secondary dystonias, but more careful, prospective, randomized studies are needed. Combinations of bilateral targets are possible with the current technology of DBS, but not widely used due to surgical morbidity and expense. This article reviews the surgical treatment of dystonia from past to present, with a focus on separating the outcomes for primary versus secondary and generalized versus cervical dystonia.

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Peripheral Procedures for Cervical Dystonia

Taira¹

2009

Textbook of Stereotactic and Functional Neurosurgery

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Spasmodic torticollis. Results in 71 surgically treated patients

Cited by 10 publications

References 5 publications

Modified McKenzie-Dandy operation for a cervical dystonia patient who failed selective peripheral denervation: A case report and literature review

Modified McKenzie-Dandy operation for a cervical dystonia patient who failed selective peripheral denervation: A case report and literature review

Surgical therapy for dystonia

Peripheral Procedures for Cervical Dystonia

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