Cervical Dystonia Induced by Cervical Spine Surgery: A Case Report
Cervical Dystonia Induced by Cervical Spine Surgery: A Case Report
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DOI：
10.1097/01.brs.0000193928.16048.cb
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发表时间：
2006-01
期刊：
影响因子：
3
通讯作者：
M. Takemoto;M. Ikenaga;C. Tanaka;M. Sonobe;J. Shikata
中科院分区：
文献类型：
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作者：
M. Takemoto;M. Ikenaga;C. Tanaka;M. Sonobe;J. Shikata
研究设计.一份病例报告。目标.描述一个有趣的病人，他接受了颈椎三节段椎体次切除术，并发颈椎肌张力障碍，最终通过肉毒杆菌毒素注射成功治疗。背景数据总结。颈部肌张力障碍是一种相对罕见的疾病，许多临床医生不熟悉。各种类型的外周创伤或外周病变已被报道可引起颈部肌张力障碍。然而，据我们所知，还没有关于颈椎手术后颈椎肌张力障碍的报道。方法.我们报告一位45岁男性，因颈椎病接受颈椎前路椎体次全切除术及腓骨支撑移植术后，出现严重的轴性颈痛。他的颈部疼痛逐渐恶化，术后6周，当他的光环背心被移除时，出现了不自主的痉挛性颈部运动。最初，我们认为他的投诉是短暂的或心因性的，颈部肌张力障碍的诊断被推迟到术后14周。结果药物治疗不成功，但他通过局部肌肉注射肉毒杆菌毒素成功治疗。结论.必须记住的是，颈椎手术并不是颈椎肌张力障碍的一个特殊的沉淀剂，尽管它是非常罕见的。
Study Design. A case report. Objectives. To describe an interesting patient who underwent a three-level corpectomy of the cervical spine complicated by cervical dystonia and eventually treated successfully with botulinum toxin injections. Summary of Background Data. Cervical dystonia is a relatively rare disease and unfamiliar to many clinicians. Various types of peripheral trauma or peripheral lesion have been reported to induce cervical dystonia. However, to the best of our knowledge, there have been no reports about cervical dystonia following cervical spine surgery. Methods. We present a case of a 45-year-old man who developed severe axial neck pain after cervical anterior corpectomy and fibula strut grafting due to cervical myelopathy. His neck pain gradually worsened, and involuntary spasmodic neck movement developed 6 weeks after operation when his halo-vest was removed. Initially, we considered his complaint to be transient or psychogenic, and diagnosis of cervical dystonia was delayed until 14 weeks after operation. Results. Pharmacologic treatment was unsuccessful, but he was successfully treated with local intramuscular injections of botulinum toxin. Conclusions. It must be kept in mind that cervical spine surgery is not an exceptional precipitator of cervical dystonia, despite the fact that it is extremely rare.