Effective botulinum toxin injection guide for treatment of cervical dystonia

被引：35

作者：

Yi, Kyu-Ho ^{[1
]}

Choi, You-Jin ^{[2
]}

Cong, Liyao ^{[2
]}

Lee, Kyu-Lim ^{[2
]}

Kyung-Seok, Hu ^{[2
]}

Kim, Hee-Jin ^{[2
]}

机构：

[1] Catholic Univ Korea, Sch Med, Seoul, South Korea

[2] Yonsei Univ, Coll Dent, Div Anat & Dev Biol, Dept Oral Biol,Human Identificat Res Ctr,BK21 Plu, 50-1 Yonsei Ro, Seoul 03722, South Korea

来源：

CLINICAL ANATOMY | 2020年 / 33卷 / 02期

关键词：

botulinum neurotoxin; cervical dystonia; sternocleidomastoid muscle; Sihler's stain; intramuscular distribution; INTRAMUSCULAR NERVE DISTRIBUTION; TRIGGER POINT INJECTIONS; DISTRIBUTION PATTERN; TORTICOLLIS; MUSCLES; GUIDANCE;

D O I：

10.1002/ca.23430

中图分类号：

R602 [外科病理学、解剖学]; R32 [人体形态学];

学科分类号：

100101 ;

摘要：

The aim of this study was to elucidate the distribution of the accessory nerve within the sternocleidomastoid muscle (SCM) to aid identifying the optimum sites for botulinum neurotoxin (BoNT) injections and applying chemical neurolysis. Thirty SCM specimens from 15 Korean cadavers were used in this study. Sihler's staining was applied to 10 of the SCM specimens. Transverse lines were drawn in 20 sections to divide the SCM into 10 divisions vertically, and a vertical line was drawn into the medial and lateral halves from the mastoid process to the sternoclavicular joint. The most densely innervated areas were 5/10-6/10 and 6/10-7/10 along the lateral and medial parts of the muscle, respectively. We suggest injecting BoNT in the medial region 6/10-7/10 along the SCM prior to injecting in the lateral region 5/10-6/10 along the muscle to ensure safe and effective treatment. Clin. Anat., 2019. (c) 2019 Wiley Periodicals, Inc.

引用

页码：192 / 198

页数：7

共 36 条

[1]

ANDERSON TJ, 1992, J ROY SOC MED, V85, P524

[2] BOTULINUM TOXIN TREATMENT IN SPASMODIC TORTICOLLIS [J].