Diagnostic and therapeutic recommendations in adult dystonia: a joint document by the Italian Society of Neurology, the Italian Academy for the Study of Parkinson's Disease and Movement Disorders, and the Italian Network on Botulinum Toxin

被引：11

作者：

Romano, Marcello ^{[1
]}

Bagnato, Sergio ^{[2
,3
]}

Altavista, Maria Concetta ^{[4
]}

Avanzino, Laura ^{[5
,6
]}

Belvisi, Daniele ^{[7
,8
]}

Bologna, Matteo ^{[7
,8
]}

Bono, Francesco ^{[9
]}

Carecchio, Miryam ^{[10
]}

Castagna, Anna ^{[11
]}

Ceravolo, Roberto ^{[12
]}

Conte, Antonella ^{[7
,8
]}

Cosentino, Giuseppe ^{[13
]}

Eleopra, Roberto ^{[14
]}

Ercoli, Tommaso ^{[15
]}

Esposito, Marcello ^{[16
]}

Fabbrini, Giovanni ^{[7
,8
]}

Ferrazzano, Gina ^{[7
]}

Lalli, Stefania ^{[17
]}

Mascia, Marcello Maria ^{[18
]}

Osio, Maurizio ^{[19
]}

Pellicciari, Roberta ^{[20
]}

Petrucci, Simona ^{[21
,22
]}

Valente, Enza Maria ^{[23
,24
]}

Valentino, Francesca ^{[25
]}

Zappia, Mario ^{[26
]}

Zibetti, Maurizio ^{[27
]}

Girlanda, Paolo ^{[28
]}

Tinazzi, Michele ^{[29
]}

Defazio, Giovanni ^{[15
,16
,17
,18
]}

Berardell, Alfredo ^{[7
,8
]}

机构：

[1] Villa Sofia Cervello Hosp, Neurol & Stroke Unit, Palermo, Italy

[2] Giuseppe Giglio Fdn, Rehabil Dept, Unit Neurophysiol, Cefalu, Italy

[3] Giuseppe Giglio Fdn, Rehabil Dept, Unit Severe Acquired Brain Injuries, Cefalu, Italy

[4] Italian Network Botulinum Toxin RITB SIN, Neurol Unit, San Filippo Neri Hosp ASL, Rome, Italy

[5] Univ Genoa, Dept Expt Med, IRCCS San Martino Polyclin, Human Physiol Sect, Genoa, Italy

[6] IRCCS San Martino Polyclin, Genoa, Italy

[7] Sapienza Univ Rome, Dept Human Neurosci, Viale Univ 30, I-00185 Rome, Italy

[8] IRCCS Neuromed, Pozzilli, IS, Italy

[9] Mater Domini Univ Hosp, Botulinum Toxin Ctr, Neurol Unit, Italian Network Botulinum Toxin RITB SIN, Catanzaro, Italy

[10] Univ Padua, Study Ctr Neurodegenerat CESNE, Dept Neurosci, Parkinson & Movement Disorders Unit, Padua, Italy

[11] IRCCS Fdn Don Carlo Gnocchi Onlus, Milan, Italy

[12] Univ Pisa, Dept Clin & Expt Med, Pisa, Italy

[13] Univ Pavia, IRCCS Mondino Fdn, Dept Brain & Behav Sci, Pavia, Italy

[14] IRCCS Fdn Carlo Besta Neurol Inst, Dept Clin Neurosci, Parkinson & Movement Disorders Unit, Milan, Italy

[15] Univ Cagliari, Dept Med Sci & Publ Hlth, Cagliari, Italy

[16] AORN A Cardarelli, UOC Neurophysiol, Naples, Italy

[17] IRCCS Humanitas Res Hosp, Dept Neurol, Via Manzoni 56, I-20089 Milan, Italy

[18] Azienda Osped Univ Cagliari, Inst Neurol, SS 554 Km 4-500, I-09042 Cagliari, Italy

[19] Univ Milan, Luigi Sacco Hosp, Dept Neurol, Milan, Italy

[20] Univ Aldo Moro, Dept Basic Sci Neurosci & Sensory Organs, Bari, Italy

[21] Sapienza Univ Rome, Dept Clin & Mol Med, Rome, Italy

[22] S Andrea Univ Hosp, Med Genet & Adv Cell Diagnost Unit, Rome, Italy

[23] IRCCS Mondino Fdn, Neurogenet Res Ctr, Pavia, Italy

[24] Univ Pavia, Dept Mol Med, Pavia, Italy

[25] IRCCS Mondino Fdn, Pavia, Italy

[26] Univ Catania, Dept Med Surg Sci & Adv Technol GF Ingrassia, Sect Neurosci, Via Santa Sofia 78, Catania, Italy

[27] AO City Hlth & Sci, Univ Div Neurol 2, Turin, Italy

[28] Univ Messina, Dept Clin & Expt Med, Messina, Italy

[29] Univ Verona, Dept Neurosci Biomed & Movement, Verona, Italy

来源：

NEUROLOGICAL SCIENCES | 2022年 / 43卷 / 12期

关键词：

Blepharospasm; Botulinum toxin; Cervical dystonia; Dystonia; Rehabilitation; Upper limb dystonia; CERVICAL DYSTONIA; SPASMODIC TORTICOLLIS; FOCAL DYSTONIA; BRAIN-STIMULATION; EFNS GUIDELINES; REHABILITATION; PHYSIOTHERAPY; CLASSIFICATION; EPIDEMIOLOGY; VALIDATION;

D O I：

10.1007/s10072-022-06424-x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The diagnostic framework and the therapeutic management of patients with adult dystonia can represent a challenge for clinical neurologists. The objective of the present paper is to delineate diagnostic and therapeutic recommendations for dystonia provided by a panel of Italian experts afferent to the Italian Society of Neurology, the Italian Academy for the Study of Parkinson's Disease and Movement Disorders, and the Italian Network on Botulinum Toxin. We first discuss the clinical approach and the instrumental assessment useful for diagnostic purpose. Then, we analyze the pharmacological, surgical, and rehabilitative therapeutic options for adult dystonia. Finally, we propose a hospital-territory network model for adult dystonia management.

引用

页码：6929 / 6945

页数：17

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