The Siberian Scientific Medical Journal
 
 
№ 3 / 2018 / 71-79
DOI 10.15372/SSMJ201803011

CERVICAL DYSTONIA: HISTORICAL AND MODERN ASPECTS (REVIEW)

Author Affiliations

Abstract

Dystonia is hyperkinesis characterized by involuntarily repetitive muscle contractions in one or more body areas. It leads to the appearance of a pathological posture and disruption of arbitrary movements. This definition is the most common, but not completely exhaustive, because of the phenotypic polymorphism of the disease. There is not unitary methodology for epidemiological research. Also the disease clinical symptoms are very polymorphic. These reasons make the results of the study incomplete and inaccurate. Implementation mechanism of dystonic hyperkinesia is still insufficiently studied. At the present time the disease multifactorial nature is the leading hypothesis whereby the genetic determinacy can be realized under the influence of exogenous factors. The diagnosis of the cervical dystonia is clinical and sets on the manifestations of the pathological posture of the head and neck. The disease begins at the active working age and proceeds with the functional deficit formation leading to difficulties of domestic and professional nature. This leads to psychological, social dysaptation and disability of patients. The proven effective treatment for the cervical dystonia is the use of botulinum toxin of type A (the grade of recommendation A).

Key words

cervical dystonia, multi-factoriality, classification of dystonia, botulinum toxin treatment
References
About Authors (Correspondence):

Druzhinina O.A. – postgraduate student of the chair for neurology and neurosurgery, e-mail: oxi-novosib@mail.ru

Full Text

Received: 27/06/2018
Accepted: 27/06/2018