Sonographic Guide for Botulinum Toxin Injections of the Neck Muscles in Cervical Dystonia - 23/11/17

Doi : 10.1016/j.pmr.2017.08.009

Bayram Kaymak, MD ^a, Murat Kara, MD ^a, Eda Gürçay, MD ^b, Levent Özçakar, MD ^a,^⁎
^a Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara 06100, Turkey
^b Department of Physical and Rehabilitation Medicine, Gaziler Training and Research Hospital, Lodumlu yolu, 06800 Bilkent, Ankara, Turkey

^∗Corresponding author. Hacettepe Üniversitesi, Tıp Fakültesi, Hastaneleri Zemin Kat FTR AD, Sıhhıye, Ankara 06100, Turkey.Hacettepe ÜniversitesiTıp FakültesiHastaneleri Zemin Kat FTR ADSıhhıyeAnkara06100Turkey

Résumé

Intramuscular botulinum toxin (BoTX) injection is the first-line treatment of cervical dystonia. Poor treatment outcomes and some side effects, however, have been reported after BoTX applications. One of the most important reasons is incorrect localization of the needle during toxin injections. Without imaging, it is impossible to verify precise needle positioning in the proper muscle. Ultrasound has been recommended because of its high capability in illustrating most of the neck muscles. This review article discusses how ultrasound imaging can be used to scan/access neck muscles, mainly from the perspective of BoTX injections.

Le texte complet de cet article est disponible en PDF.

Keywords : Cervical dystonia, Muscle, Ultrasound, Botulinum toxin, Innervation zone