Posture-Dependent Dysphagia After Botulinum Toxin Type A Injection at Sternocleidomastoid in a Patient With Athetoid Cerebral Palsy

被引：6

作者：

Chang, Won Kee ^{[1
]}

Kim, Keewon ^{[1
]}

Seo, Han Gil ^{[1
]}

Leigh, Ja-ho ^{[1
]}

Bang, Moon Suk ^{[1
]}

机构：

[1] Seoul Natl Univ, Coll Med, Dept Rehabil Med, 101 Daehak Ro, Seoul 03080, South Korea

来源：

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION | 2018年 / 97卷 / 06期

关键词：

Dysphagia; Athetoid Cerebral Palsy; Sternocleidomastoid; Botulinum Toxin; Posture; SPASMODIC TORTICOLLIS; CERVICAL DYSTONIA; CHIN-TUCK; MOVEMENT;

D O I：

10.1097/PHM.0000000000000763

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Cervical dystonia is a common issue in patients with athetoid cerebral palsy. Botulinum toxin injection to dystonic cervical muscles is a well-recognized treatment option, but it is known to be associated with dysphagia. Previously reported cases of dysphagia after botulinum toxin injection to the sternocleidomastoid muscle were related to the regional spread of toxin to the pharyngeal muscles. We report a unique case of posture-dependent dysphagia due to preactivation of the suprahyoid and infrahyoid muscles to compensate for impaired head stabilization by the weakened sternocleidomastoid muscle while swallowing. This case suggests a possible mechanism of dysphagia in patients with athetoid cerebral palsy.

引用

页码：E51 / E54

页数：4

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