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Mov Disord. 1996 Jan;11(1):79-81.

Perioperative use of botulinum toxin for movement disorder-induced cervical spine disease.

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Department of Neurology, Mayo Clinic Scottsdale, Arizona 85259, USA.


Patients with cervical dystonia or tics of the nuchal muscles can develop serious cervical spine disease. We report a series of four patients who received botulinum toxin injections to control their movement disorders prior to their required surgery. One patient with cervical tic-induced radiculomyelopathy required botulinum toxin injection postoperatively to facilitate stabilization of the cervical fusion. Two patients with torticollis-induced cervical radiculomyelopathy, and one patient with dystonia-induced C5 fracture, had botulinum toxin injected preoperatively to facilitate postoperative recovery. Botulinum toxin appears to be a useful adjunct in the treatment of cervical movement disorders prior to or following surgery for associated cervical spine disease.

[Indexed for MEDLINE]

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