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Doctor insights on: Stimulation Spasmodic Torticollis

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How effective is deep brain stimulation for spasmodic torticollis?

How effective is deep brain stimulation for spasmodic torticollis?

~50% response rate: This is a non-fda approved indication for dbs. However, patients who fail medical therapies, including botox, can be considered. Approximately 50% of patients respond. ...Read more

Dr. Adam Hebb
93 doctors shared insights

Spasmodic Torticollis (Definition)

Torticollis is a hyper spasmodic condition of the neck in which the neck and/or head is abnormally positioned in an asymmetric position. Also called Wry neck, the top of the head is tilted in one direction and the chin in another direction. Common causes are drug side effects (probably most common), and injury to the neck and cervical nerves. ...Read more


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What to do if I have deep brain stimulation for spasmodic torticollis dystonia?

What to do if I have deep brain stimulation for spasmodic torticollis dystonia?

DBS does treat this: You can use DBS for spasmodic torticollis, if medial therapies are failing, including botox. Very effective (80%) for this condition. ...Read more

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Can you tell me about deep brain stimulation for spasmodic torticollis dystonia?

Can you tell me about deep brain stimulation for spasmodic torticollis dystonia?

DBS: Deep brain stimulation (DBS) is used in extreme cases to treat dystonia. The surgery involves implanting electrodes into a region of the brain, the globus pallidus, to help reduce tone in the muscles which is causing the torticollis. The efficacy of the surgery is somewhat related to genetic factors and also related to how long a person has been symptomatic. More chronic cases are harder to treat. ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Can deep brain stimulation surgery treat spasmodic torticollis dystonia?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Can deep brain stimulation surgery treat spasmodic torticollis dystonia?

DBS: Yes, some benefit from the procedure, although it is used off-label. ...Read more

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What is spasmodic torticollis?

What is spasmodic torticollis?

Spasmodic torticolli: Spasmodic torticollis is an extremely painful chronic neurological movement disorder causing the neck to involuntarily turn to the left, right, upwards, and/or downwards. The condition usually occurs in midlife. (wikipedia) http://en.Wikipedia.Org/wiki/spasmodic_torticollis the new treatment that is very effective is botulinum toxin injections. ...Read more

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How is spasmodic torticollis treated?

Meds, injections: Spasmodic torticollis, also called cervical dystonia, has several treatment options. Oral medications are sometimes helpful (baclofen, artane). Because these medications sometimes cause side effects such as sedations, injections with botulinum toxin (such as botox) are often the most effective treatment option. ...Read more

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Can drugs cause spasmodic torticollis?

Not exactly: There are certain drugs that work by blocking the action of dopamine, most of which are medications to treat psychosis or nausea (haldol, thorazine, phenergan, (promethazine) reglan) that can cause a "dystonic reaction" where the head is pulled involuntarily to one side, which would appear the same as someone with spasmodic torticollis. ...Read more

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How is spasmodic torticollis detected?

Spasmodic torticolli: Spasmodic torticollis is an extremely painful chronic neurological movement disorder causing the neck to involuntarily turn to the left, right, upwards, and/or downwards. The condition usually occurs in midlife. (wikipedia) http://en.Wikipedia.Org/wiki/spasmodic_torticollis the new treatment that is very effective is botulinum toxin injections. It is easily detected because it is very painful. ...Read more

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What are symptoms of spasmodic torticollis?

Turning to one side: Spasmodic torticollos is a nerve-based problem which results in muscles of the neck inappropriately turning to one side consistently. It can be painful and usually cannot be overcome by simply using the hands to push the face back to center.
There are treatments for this, though, including pills that alter the signal from the brain to the muscles as well as Botox to weaken the neck muscles. ...Read more

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What are the causes of spasmodic torticollis?

What are the causes of spasmodic torticollis?

Unknown: Spasmodic torticollis is a focal dystonia ( like blepharospasm and writer, s cramp) in which neck cannot be kept straight and is turned to one side. The cause of focal dystonia, s is not clear and even though some psychogenic factors seem to play a part in the start of some of these symptoms we do not know why or how the process continues. ...Read more

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What are some causes of spasmodic torticollis?

Torticollis: Aka wry neck typically the head tilts away from the side of the neck with a tight sternpcleidomadtoid muscle. ...Read more

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What oral medications can help spasmodic torticollis?

Spasmodic Torticolli: Anticholinergic agents, baclofen, klonopin, (clonazepam) if detected early. Another older medications are Dopamine blockers, but are out of fashion due to severe side-effects. ...Read more

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What exactly is spasmodic torticollis? Can it be treated?

Spasmodic torticolli: Spasmodic torticollis is an extremely painful chronic neurological movement disorder causing the neck to involuntarily turn to the left, right, upwards, and/or downwards. The condition usually occurs in midlife. (wikipedia) http://en.Wikipedia.Org/wiki/spasmodic_torticollis the new treatment that is very effective is botulinum toxin injections. ...Read more

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I was wondering what are some causes of spasmodic torticollis?

While there can: Be a number of associated neurologic conditions, isolated spasmodic torticollis is usually idiopathic, as we do not know the cause. If there are other symptoms, there are many syndromes that include it, and neuro insults like brain injury or radiation treatments can also cause it. Even poor positioning in utero is speculated to be related. Best to have a thorough history to isolate that answer. ...Read more

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I think I have spasmodic torticollis, help me! i hurt so much?

Botox: Botox is indicated for true spasmodic torticollis and not much else will help . If you have failed meds , like nsaids, muscle relaxers , local injections , physical therapy and massage that would be the next step and it could last 3 months and you have to repeat it but it costs are high. ...Read more

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What is the definition or description of: Spasmodic torticollis?

What is the definition or description of: Spasmodic torticollis?

Severe neck spasm: Torticollis is a hyper spasmodic condition of the neck in which the neck and/or head is abnormally positioned in an asymmetric position. Also called Wry neck, the top of the head is tilted in one direction and the chin in another direction. Common causes are drug side effects (probably most common), and injury to the neck and cervical nerves. Often temporary, sometimes permanent. ...Read more

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What is the treatment for spasmodic torticollis?

What is the treatment for spasmodic torticollis?

Muscle relaxers, and: Nsaid's if indicated. Therapy and massage with stretching exercises by a therapist.
In young kids sometimes surgery would be indicated.
Consult your orthopod for proper DX and treatment. ...Read more

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What is the best treatment for a spasmodic torticollis?

What is the best treatment for a spasmodic torticollis?

Botox: The use of Botox injection has revolutionized the are of torticollis. Injections into the muscle will overtime relax the muscle and improve the issue. ...Read more

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Is torticollis the same as cervical dystonia/spasmodic torticollis? I have pain & spasms in neck and minor involuntary movemnt. Will it become worse?

Yes; Possibly.: Cervical dystonia is an imbalance in muscle activity of the neck muscles, which can cause abnormal postures or shaking. It is also known as torticollis or spasmodic torticollis. Most cases get slowly worse over time, though some cases have been reported of spontaneous improvement. Oral medicines and injections of Botox may be helfpul. ...Read more

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Could spasmotic torticollis be cured?

Yes!: There are various treatment options available for torticollis, and physical therapy would be the first one to start with. ...Read more

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What causes spasmodic torticollus besides drugs? I've had the same medication for2 and it's never happened before

Genetics, idiopathic: Torticollis, also known as cervical dystonia, can be the result of some medications, especially Dopamine blocking medicines such as may be used for bipolar or schizophrenia. This can happen even after being on the same dose of the same medication for a long time. Other times there are genetic conditions that can cause torticollis, and sometimes there is no clear cause ("idiopathic"). ...Read more

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Had spasmodic torticollus this week. Ed xrays showed arthrits in neck & back. I'm 20 and its painful. Also sent for mri. Celebrex/ lortabs for pain?

Had spasmodic torticollus this week. Ed xrays showed arthrits in neck & back. I'm 20 and its painful. Also sent for mri. Celebrex/ lortabs for pain?

Pain: Are you asking if this is appropriate treatment or why it is so painful? Given your age, the pain is far more likely to be from the muscle spasm (which can be excruciating) than arthritis. The meds will help, as will heating pads, and gentle stretching.. If it's in the budget or if you have someone who can help, you may get relief from massage as well :) it may take 1-2 weeks to resolve. ...Read more

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Anyone had torticollis surgery success?

Surgery last resort : Surgery is rarely done these days for torticollis. Botox injections can work very well and currently represent the gold standard of treatment. ...Read more

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What can I do about torticollis and bdd?

What can I do about torticollis and bdd?

Biofeedback with: Electromyogram (EMG) can help retrain spastic muscles in torticollis. Find a certified biofeedback professional at www.Bcia.Org and www.Aapb.Org. Body dysmorphic disorder requires psychotherapy. ...Read more

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Can torticollis, acute cause pain in the head?

Can torticollis, acute cause pain in the head?

Yes pulling on muscl: Yes it cano pulling on the muscles about the neck and they attach to the neck and head. You can discuss htis with your physicais and can have the trigger point injected where the torticollis is initiated. Sometimes the torticollis can be injected with botox ...Read more

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How can torticollis be treated in a 6 week old?

How can torticollis be treated in a 6 week old?

Physical therapy: This is most commonly a reaction to the extraction of the head & shoulders during delivery that may trigger the process. Gentile but firm range of motion maneuvers by the parent as taught by a physical therapist will usually release the tightness. There are rare other causes. Exam and referral by your doc will start the process. ...Read more

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What is the procedure of a torticollis surgery?

What is the procedure of a torticollis surgery?

Torticollis: If you are considering surgery, i would assume that you are not responding or have had adverse reactions to the use of Botox injections. Surgical treatment is dictated by clearly defining the hyperactive neck muscles that are spasming. Selective denervation of the muscles requires meticulous dissection and avulsion of the motor nerves for the specific muscles. ...Read more

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Torticollis- is there surgery for this that works?

No: Surgery is hardly ever done for this condition botulinum toxin injection is the usual treatment. ...Read more

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Is torticollis surgery ever needed or pt always works?

Is torticollis surgery ever needed or pt always works?

Surg RARELY Needed: Most patients with torticollis will respond to physical therapy. Rarely surgery is required - particularly if the torticollis is allowed to persist for an extended period of time. The surgical interventions are quite invasive and should be only used when absolutely necessary. ...Read more

Dr. Henry Sondheimer
189 doctors shared insights

Torticollis (Definition)

A condition in which the neck is twisted abnormally to one side. The head is tilted in one direction, while the chin is turned to the other. Torticollis may either be inherited or may arise from neck trauma or the ...Read more


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