5,595 results match your criteria: "Torticollis"

The neural tube abnormality known as split cord malformation (SCM) is characterized by longitudinally separated functional hemicords. SCM is the result of a single basic ontogenetic error and may be associated with other anomalies. One such anomaly is Klippel-Feil syndrome (KFS), which is characterized by abnormal fusion of two or more cervical vertebrae.

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Brain metabolic response to repetitive transcranial magnetic stimulation to lesion network in cervical dystonia.

Brain Stimul

December 2024

Turku Brain and Mind Center, Clinical Neurosciences, University of Turku, Turku, Finland; Neurocenter, Turku University Hospital, Turku, Finland; Turku PET Centre, Turku University Hospital, Turku, Finland; Department of Clinical Neurophysiology, University of Turku, Finland.

Article Synopsis
  • A previous study found a specific brain network linked to cervical dystonia (CD), pointing out its potential for treatment, especially with non-invasive techniques like repetitive transcranial magnetic stimulation (rTMS).
  • The study aimed to evaluate how stimulating the somatosensory cortex (S1) affects brain metabolism in CD patients versus healthy controls, using methods like [F]FDG-PET to measure changes.
  • Results showed that cTBS significantly increased metabolism in the S1 and brainstem of CD patients, suggesting abnormal sensory function in CD and supporting future therapeutic trials using this stimulation method.
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Neck dystonia is a neurological condition, characterised by involuntary movements of the neck muscles, causing twisted head positions and often pain and head tremor. Ten participants with neck dystonia were interviewed and the data was analysed using an interpretative phenomenological analysis approach. Three themes were constructed: (1) dismissed by others for having an unfamiliar condition; (2) negotiating a new social identity; and (3) managing the stigma of a visible condition.

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Article Synopsis
  • The study evaluates the reliability of the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) to assess cervical dystonia through video ratings.
  • Three different professionals independently rated the videos, and their agreement was measured using the intra-class correlation coefficient (ICC).
  • Results showed good reliability for the overall severity score, but varied among individual rating items, highlighting the need for clearer definitions in certain subscales.
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Background: Recently, a network model of cervical dystonia (CD) has been adopted that implicates nodes and pathways involving cerebellar, basal-ganglia and cortico-cortical connections. Although functional changes in the cerebello-thalamo-cortical network in dystonia have been reported in several studies, structural information of this network remain sparse.

Objective: To characterize the structural properties of the cerebellar motor network in isolated CD patients.

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Physical Therapy Management of Congenital Muscular Torticollis: A 2024 Evidence-Based Clinical Practice Guideline From the American Physical Therapy Association Academy of Pediatric Physical Therapy.

Pediatr Phys Ther

October 2024

Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California (Dr Sargent), Los Angeles, California; Orthotics and Prosthetics Department (Drs Coulter and Cannoy), Children's Healthcare of Atlanta, Atlanta, Georgia; Department of Rehabilitation and Movement Sciences, Rutgers (Dr Kaplan), The State University of New Jersey, Newark, New Jersey.

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A New Variant of Avian Encephalomyelitis Virus Associated with Neurologic Signs in Turkey Poults.

Pathogens

September 2024

Animal Disease Research and Diagnostic Laboratory, Department of Veterinary and Biomedical Sciences, South Dakota State University, Brookings, SD 57007, USA.

Avian encephalomyelitis (AE) is a disease caused by the avian encephalomyelitis virus (AEV) of the genus Tremovirus in the family Picornaviridae. Recently, cases of turkey poults showing neurological signs were submitted to the veterinary diagnostic laboratories at South Dakota State University and the University of Minnesota. The affected birds were showing nervous neurological signs such as tremors, inability to stand, torticollis, and wing drop.

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Introduction: Deep Brain Stimulation (DBS) is an established therapeutic approach for the treatment of dystonia. However, to date, no large-scale or comprehensive DBS dystonia patient registry has been yet undertaken. Here, we describe the protocol for a world-wide registry of clinical outcomes in dystonia patients implanted with DBS.

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Article Synopsis
  • MRSA (Methicillin-resistant Staphylococcus aureus) is a common pathogen known for causing serious infections in hospitals, but there's been a rise in infections from the community as well.
  • A case is presented of a 63-year-old woman who, after lifting a heavy object, experienced altered mental status and neck stiffness, ultimately diagnosed with MRSA bacteremia and cervical epidural abscess.
  • The case highlights the importance of identifying the source of MRSA infections for effective treatment and underscores the need for thorough assessment due to MRSA's serious health risks.
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Article Synopsis
  • Loss-of-function mutations in a specific gene linked to dystonia reveal similarities to idiopathic dystonia, highlighting the gene's role in regulating cAMP levels in the striatum, a brain region critical for movement.
  • Researchers developed a genetic mouse model to study the effects of knocking out this gene in a targeted manner, observing significant motor impairments and dystonic behaviors in these mice.
  • The findings indicate that the loss of this gene increases the excitability of certain neurons, suggesting that reducing this hyperexcitability could lead to potential treatments for both genetic and idiopathic forms of dystonia.
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Cost-Utility Analysis of Deep Brain Stimulation for Generalized and Cervical Dystonia: A Perspective from Brazilian Healthcare.

World Neurosurg

November 2024

Núcleo de Avaliação de Tecnologias em Saúde da Universidade Federal de São Paulo - Diadema (NUD), Diadema, Brazil; Programa de Pós-graduação em Ciências Farmacêuticas da Universidade Federal de São Paulo, Diadema, Brazil. Electronic address:

Objective: In the Brazilian public national healthcare system, botulinum toxin type A has traditionally been the sole treatment option for patients with dystonia. However, as of October 2022, deep brain stimulation (DBS) garnered positive recommendations for the condition. This study aims to assess the cost-effectiveness of DBS in treating adults with generalized and cervical dystonia within the Brazilian healthcare context, considering its recent inclusion.

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Comprehensive comparative study of Chiari-like malformation in veterinary and human medicine.

Vet Med (Praha)

July 2024

Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, Seoul, Republic of Korea.

Article Synopsis
  • This review explores Chiari-like malformation (CLM), a condition characterized by displacement of the hindbrain due to inadequate skull size, affecting both humans and animals.
  • CLM causes obstruction at the craniocervical junction, disrupting cerebrospinal fluid flow and potentially leading to syringomyelia, with symptoms like head tremors, ataxia, and pain.
  • While magnetic resonance imaging is essential for diagnosis, current treatments such as foramen magnum decompression provide only temporary relief, highlighting the need for further research on effective long-term treatment options.
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Clinical Application of Custom Neck Collar with Negative Sensory Feedback in Children with Intractable Torticollis.

Children (Basel)

August 2024

Department of Rehabilitation Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Republic of Korea.

Article Synopsis
  • The study focused on evaluating a custom neck collar that provides negative sensory feedback to treat children with torticollis that didn't respond to other treatments.
  • Involved 24 children, using a two-stage method with different collar surfaces, over a total of 6 months, to measure the change in torticollis angle.
  • The results showed significant improvement in the torticollis angle, indicating that this new orthosis could be a safe and effective treatment option for difficult cases of torticollis in children.
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Clinicopathological and Molecular Investigation of Newcastle Disease Outbreaks in Vaccinated and Non-Vaccinated Broiler Chicken Flocks in Nepal.

Animals (Basel)

August 2024

Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China.

Newcastle disease (ND) is a highly contagious viral disease caused by the paramyxovirus, which is a single-stranded ribonucleic acid (RNA) virus. This study was conducted to investigate ND outbreaks in 10 vaccinated or non-vaccinated broiler farms, collectively housing 9840 birds of various ages in the Chitwan and Nawalpur districts of Nepal from July to December 2021. Clinically, the affected birds exhibited symptoms such as limb paralysis, greenish diarrhea (seven out of ten flocks), torticollis (two out of ten flocks), inappetence, and drowsiness (ten out of ten flocks).

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Prevalence and clinical features of cervical dystonia in Parkinson's disease.

Parkinsonism Relat Disord

October 2024

Jean and Paul Amos Parkinson's Disease and Movement Disorder Program, Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA. Electronic address:

Article Synopsis
  • The study aimed to determine how common cervical dystonia (CD) is among patients with Parkinson's disease (PD) and to identify its clinical features.
  • Out of 301 PD patients examined, 28 (9.3%) were found to have CD, which is significantly higher than what's typically seen in the general population, highlighting that CD is more common in PD cases.
  • The characteristics of CD-PD differ from idiopathic cervical dystonia (ICD) patients in terms of gender, age, severity, and response to medication, suggesting the need for more extensive research to explore these differences further.
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RimabotulinumtoxinB: An Update.

Dermatol Surg

September 2024

Marmur Medical, New York, New York.

Article Synopsis
  • Botulinum type-A toxin is widely used for aesthetic and medical treatments, but type-B toxin is gaining interest for patients resistant to type-A.
  • The study reviewed FDA-approved uses of rimabotulinumtoxinB and off-label indications, highlighting its varying effectiveness depending on the condition treated.
  • Type B toxin is safe and effective for conditions like facial wrinkles, cervical dystonia, sialorrhea, and hyperhidrosis, although common side effects include dry mouth and dysphagia. It shows faster action and a dose-dependent effect profile.
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Movement disorders such as cervical dystonia, blepharospasm, and hemifacial spasm negatively impact the quality of life of people living with these conditions. Botulinum toxin (BoNT) injections are commonly used to treat these disorders. We sought to describe patient characteristics, BoNT utilization, and potential adverse events (AEs) among patients with cervical dystonia, blepharospasm, and hemifacial spasm using Optum's de-identified Clinformatics Data Mart Database.

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Purpose: Cervical hemivertebrae (C3-6) causing significant osseous torticollis, head tilt and facial asymmetry are rare and complicated. Cervical hemivertebrectomy (CHVE) by a posterior-only approach was never reported because it is highly risky and its efficacy remains controversial. This study is to evaluate the feasibility and preliminary clinical outcomes of posterior-only approach for CHVE and torticollis correction in young children.

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Cerebral-Cerebellar Cortical Activity and Connectivity Underlying Sensory Trick in Cervical Dystonia.

Ann Clin Transl Neurol

October 2024

Department of Neurology, the First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.

Objective: The objective of this study was to investigate the activity and connectivity of cerebral and cerebellar cortices underlying the sensory trick (ST) effects in patients with cervical dystonia (CD), using electroencephalography (EEG).

Methods: We recruited 15 CD patients who exhibited clinically effective ST and 15 healthy controls (HCs) who mimicked the ST maneuver. EEG signals and multiple-channel electromyography (EMG) were recorded simultaneously during resting and acting stages.

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Evidence-based review and frontiers of migraine therapy.

Neurogastroenterol Motil

August 2024

Department of Neurology and Ophthalmology, Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA.

Article Synopsis
  • Cyclic vomiting syndrome (CVS) is linked to migraines and may share common biological mechanisms, like hypothalamic activation and altered dopamine signaling.
  • Recent advancements in migraine treatments could also benefit CVS, despite limited research on their effectiveness for this condition.
  • The manuscript focuses on emerging migraine therapies, including CGRP-targeting drugs and neuromodulation devices, which might be helpful for treating CVS in the future.
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Grisel's syndrome is a non-traumatic atlantoaxial (C1-C2) subluxation and one of the causes of torticollis in children. The subluxation occurs in the context of an infection in the ENT ("Ear Nose and Throat") region or following surgery. Diagnosis is based on clinical examination and radiological assessment.

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Background: This study aimed to investigate the clinical efficacy of minimally invasive endoscopic treatment of children with congenital muscular torticollis (CMT).

Methods: In total, 72 children (41 male, 31 female) with CMT who underwent endoscopic surgery at the Department of Orthopedics, Xi'an Children's Hospital, between January 2021 and January 2023 were included. Their mean age was 54 ± 36.

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White Matter Microstructural Changes Using Ultra-Strong Diffusion Gradient MRI in Adult-Onset Idiopathic Focal Cervical Dystonia.

Neurology

August 2024

From the Cardiff University Brain Research Imaging Centre (C.L.M., D.J., K.G., A.D., C.M.W.T.), Cardiff University; Neuroscience and Mental Health Research Institute (C.L.M., K.J.P.), Division of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine; North Bristol NHS Trust (K.S.-K.), United Kingdom; and Image Sciences Institute (C.M.W.T.), University Medical Center Utrecht, the Netherlands.

Article Synopsis
  • * Participants included 46 individuals with AOIFCD and 30 healthy controls, who underwent comprehensive clinical evaluations and advanced MRI techniques to analyze microstructural differences in their brain's motor pathways.
  • * Significant findings revealed altered microstructural properties in key areas such as the anterior thalamic radiations and thalamopremotor tracts among those with AOIFCD, indicating potential neurobiological factors contributing to the condition.
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  • Akabane virus, transmitted by Culicoides spp., causes birth defects in ruminant calves, particularly affecting the central nervous system and leading to arthrogryposis-hydranencephaly (A-H) syndrome.
  • During three outbreaks in Varamin, Iran (2002, 2013, 2020), 77 calves exhibited various neurological signs, ranging from common issues like blindness and depression to uncommon signs such as barking sounds and tongue protrusion.
  • Postmortem examinations revealed severe brain abnormalities and skeletal defects, and the presence of Akabane virus was confirmed through RT-PCR in the brain tissues.
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Article Synopsis
  • Individuals with idiopathic adult-onset isolated cervical dystonia (CD) may struggle with cognitive functions, especially in social cognition and executive functioning, affecting their mood and daily activities.
  • A study assessed 37 CD patients using the Cambridge Neuropsychological Test Automated Battery (CANTAB) to evaluate their cognitive performance and found that their scores were significantly lower than normative data, particularly in problem-solving and emotion recognition.
  • The findings indicate that impaired social cognition and executive functioning are crucial issues for these individuals, suggesting that targeted clinical interventions could greatly benefit them.
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