颈部肌张力障碍的再认识.PDF

中国现代神经疾病杂志 年 月第 卷第 期 2017 2 17 2 Chin J Contemp Neurol Neurosurg, February 2017, Vol. 17, No. 2 ·105 · 专题综述 · · 颈部肌张力障碍的再认识 王琳 万新华 【摘要】 肌张力障碍是一种运动障碍性疾病，临床特点为持续性或间断性肌肉收缩，导致异常、重 复运动或姿势。颈部肌张力障碍是最常见的临床类型，肉毒毒素注射是一线治疗方法，但部分患者疗效 欠佳。在头颈部功能解剖学基础上形成的“头 颈”概念的引入，将颈部肌张力障碍分为 种基本类型，有 ⁃ 8 助于临床医师精确分析颈部肌张力障碍的异常姿势，改善肉毒毒素治疗效果。 【关键词】 张力失调； 颈肌； 综述 Furtherunderstandingofcervicaldystonia WANG Lin, WAN Xin⁃hua Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China Corresponding author: WAN Xin hua (Email: wanxh@pumch.cn) ⁃ 【 】 Abstract Dystonia is a movement disorder characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive, movements, postures, or both. Botulinum toxin (BTX) has been recommended as the first ⁃line treatment choice for the most common subtype, i.e. cervical dystonia. But some patients respond poor to BTX injection. In the new collum ⁃caput (COL ⁃CAP) concept, which is generated based on cervical functional anatomy, the abnormal postures of cervical dystonia are divided into 8 basic types instead of previous 4. The concept is helpful for clinicians to analyze the abnormal posture precisely, and improve the efficacy of BTX injection thereafter. 【 】 Keywords Dystonia; Neck muscles; Review ［］ 年， 1 率先提出“肌张力障碍” 素（ ）局部注射治疗可以有效减轻异常肌肉收 1911 Oppenheim