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Microsurgical denervation at focal muscular dystonia, in torticollis patients

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dc.contributor.author Tsymbaliuk, V. I.
dc.contributor.author Tretyak, I. B.
dc.contributor.author Freydman, M. Yu.
dc.date.accessioned 2020-04-26T13:20:17Z
dc.date.available 2020-04-26T13:20:17Z
dc.date.issued 2016
dc.identifier.citation TSYMBALIUK, V. I., TRETYAK, I. B., FREYDMAN, M. Yu. Microsurgical denervation at focal muscular dystonia, in torticollis patients. In: Curierul Medical. 2016, vol. 59, no 1, pp. 18-21. ISSN 1875-0666. en_US
dc.identifier.issn 1875-0666
dc.identifier.uri http://moldmedjournal.md/wp-content/uploads/2016/09/Cm-1-0-2016-PDF-Integral.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/8888
dc.description.abstract Background: Surgical treatment of focal muscular dystonia, despite all achievements of modern neurosurgery, and auxiliary methods of diagnostics, continues to cause more questions, than gives answers. The main challenge for all who uses denervation techniques in treatment of spastic wryneck (SW) is accurate identification and the fullest exclusion of the dystonic muscles which take part in the formation of complex of symptoms of SW. Material and methods: 32 patients with torticollis were enrolled into the study. All enrolled patients underwent 75 microsurgical denervations of dystonic muscles, including 32 selective denervations of contrlateral sternocleidomastoid muscle, 28 selective posterior ramisectomy of C1-C6 roots (Bertrand’s procedure), 15 denervations and myotomias of dystonic muscles of omo-trapezoid triangle (DMOTT). Results: The outcome evaluation was conducted via neurological examination and Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) questionnaire. The outcomes showed decrease of severe torticollis (up to 0%), severe disability decreased to 0%, light disability increased from 0% to 60.71%. DMOTT strongly affected, thus improved, the outcomes. Conclusions: Initial indicators of weight of a current of SW with torticollis decreased to zero that once again emphasize efficiency and adequacy of the interventions chosen the denervation and surgical targets. Easy severity prevailed at all patients in the remote terms of supervision – 60.71% that managed to be reached performance of DMOTT. Thus, the carried-out microsurgical interventions, in particular DMOTT, allowed us to reach positive result (in the context of decrease in weight of a course of a disease) at 100% of patients with T. en_US
dc.language.iso en en_US
dc.publisher Ministerul Sănătăţii al Republicii Moldova, Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” en_US
dc.relation.ispartof Curierul Medical
dc.subject muscular cervical dystonia en_US
dc.subject spastic wryneck en_US
dc.subject torticollis en_US
dc.subject microsurgical denervation en_US
dc.subject.mesh Torticollis--diagnosis en_US
dc.subject.mesh Torticollis--surgery en_US
dc.subject.mesh Dystonic Disorders--surgery en_US
dc.subject.mesh Microsurgery--methods en_US
dc.title Microsurgical denervation at focal muscular dystonia, in torticollis patients en_US
dc.type Article en_US


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