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Treatment of cervical dystonia (torticollis) in adults with botulinum A toxin.

W. Steven Metzer, Thomas M. Jenkins

Abstract

Dystonias can be classified by etiology (idiopathic or symptomatic), by age of onset (childhood, adolescence or adult), and by anatomical involvement (focal, segmental or generalized). Cervical dystonia (torticollis) is one of the most common focal dystonias. We describe our experience in the treatment of 15 consecutive cervical dystonia patients by chemodenervation with botulinum A toxin (BOTOX), with significant improvement being objectively measured. Botox is accepted as a safe and efficacious modality for the treatment of cervical dystonia.

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Key concepts: Cervical dystonia, Torticollis, Botulinum toxin, Medicine, Dystonia, Focal dystonia, Spasmodic Torticollis, Etiology