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NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS
Official Journal of the Bulgarian Society of Neurosonology and Cerebral Hemodynamics
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Search Results for “search_doc_txt.php” – NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS
Search in texts for 'cervical dystonia' - Neurosonology.net'
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cervical dystonia
'.
1.
NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 9, 2013, No. 2
,
,
,
An emerging application is the ultrasound-guided BoNT injection into deep
cervical
and nuchal muscles in patients with
cervical
dystonia
, such as the scalene muscles, the longissimus cervicis muscle, and the obliquus capitis inferior muscle.
Visual identification of muscles and depth control of needle placement are the key features of ultrasound-guided injection that lead to improved targeting and safety of BoNT injections. Ultrasound may be helpful to validate already established injection techniques or when learning the correct injection technique. Ultrasound-guided BoNT injection has been recommended as a standard procedure in treatment of lower leg spasticity in children with cerebral palsy. In recent years, this technique has been increasingly used also for the exact targeting of BoNT injection in single forearm muscles (e.g. the flexor digitorum superficialis or the flexor digitorum profundus muscle of single fingers) of patients with writers cramp or with mild post-stroke spasticity.
An emerging application is the ultrasound-guided BoNT injection into deep cervical and nuchal muscles in patients with cervical dystonia, such as the scalene muscles, the longissimus cervicis muscle, and the obliquus capitis inferior muscle.
The upcoming MRI-ultrasound fusion imaging techniques that are available already today with advanced ultrasound systems allow the ultrasound-guided targeting also of small deep muscles such as the longus colli muscle in patients with antecollis, and the piriformis muscle in patients suffering from the piriformis syndrome.
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2.
NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 13, 2017, No. 2
,
,
,
botulinum toxin,
cervical
dystonia
, needle navigation, placement, ultrasound-guidance, ultrasonography
botulinum toxin, cervical dystonia, needle navigation, placement, ultrasound-guidance, ultrasonography
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In recent years, this technique has been increasingly used also for the exact targeting of BoNT injection in patients with
cervical
dystonia
.
Botulinum neurotoxin (BoNT) injection has been increasingly used for treating muscular spasticity and dystonia. Unlike other techniques of precision targeting such as electromyography or computed tomography that have been described to minimize undesirable BoNT effects, B-mode ultrasound allows immediate and high-resolution imaging of the injection needle position within the target region. Visual identification of muscles and depth control of needle placement are the key features of ultrasoundguided injection that lead to improved targeting and safety of BoNT injections. Ultrasound may be helpful to validate already established injection techniques or when learning the correct injection technique. Ultrasound-guided BoNT injection has been recommended as a standard procedure in treatment of lower leg spasticity in children with cerebral palsy.
In recent years, this technique has been increasingly used also for the exact targeting of BoNT injection in patients with cervical dystonia.
The ultrasoundguided BoNT injection is especially recommendable if the scalene muscles; the longus colli, longisslimus capitis, or the obliquus capitis inferior muscles are targeted. The upcoming MRI-ultrasound fusion imaging techniques that are available already today with advanced ultrasound systems allow the ultrasound-guided targeting also of small deep muscles such as the longus colli muscle in patients with antecollis.
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In the neck region US-guidance is recommendable in patients with
cervical
dystonia
when the anterior or middle scalene, longissimus capitis and the obliquus capitis inferior are target muscles [6, 7,
Ultrasonography (US) allows non-invasive, realtime imaging of muscles and their surrounding structures. US can therefore visualise and guide the entire procedure of BoNT application [6, 7]. The results of several studies suggest that US-guidance can improve efficacy and reduce adverse effects of BoNT therapy when compared to conventional placement [1–5]. In task-related dystonia such as writer’s cramp and musician dystonia the importance of exact targeting by US is especially high because (i) only the functionally relevant muscle should be weakened and (ii) only small quantities of BoNT can be injected since otherwise functionally relevant paresis can occur [2]. Compared to EMG-guidance US-guidance allows a more precise placement of BoNT in the target muscle, especially in small muscles.
In the neck region US-guidance is recommendable in patients with cervical dystonia when the anterior or middle scalene, longissimus capitis and the obliquus capitis inferior are target muscles [6, 7,
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Elimination of dysphagia using ultrasound guidance for botulinum toxin injections in
cervical
dystonia
.
Hong JS, Sathe GG, Niyonkuru C, Munin MC.
Elimination of dysphagia using ultrasound guidance for botulinum toxin injections in cervical dystonia.
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Relevance of sonography for botulinum toxin treatment of
cervical
dystonia
: an expert statement.
umer T, Fietzek U, et al.
Relevance of sonography for botulinum toxin treatment of cervical dystonia: an expert statement.
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3.
NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 14, 2018, No. 2
,
,
,
Alexandrov, USA), ultrasound-guided application of botulinum toxin in
cervical
dystonia
(U.
Republic; A.
Alexandrov, USA), ultrasound-guided application of botulinum toxin in cervical dystonia (U.
Walter, Germany), and use of contrast agents in ultrasound diagnosis and evaluation (E. Vicenzini, Italy). Among the discussed topics were also: prognostic markers for risk assessment of brain aneurysm rupture (F. Perren, Switzerland), diagnosis of retinal artery thrombosis (P. Castro, Portugal) and diagnosis of peripheral nervous system diseases such as Charcot-Marie-Tooth (D.
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