Surgical Treatment of Spasmodic Torticollis by Microvascular Decompression with Selective Dorsal Cervical Phizotomy: Case Report.
- Author:
Sung Chan PARK
1
;
Kyung Jin LEE
;
Woo Hyun SUNG
;
Young Sup PARK
;
Chang Rak CHOI
Author Information
1. Department of Neurosurgery, Catholic University, Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Spasmodic torticollis;
Spinal accessory nerve;
Neurovascular compression;
Microvascular decompression;
Selective dorsal cervical rhizotomy
- MeSH:
Accessory Nerve;
Arteries;
Decompression;
Humans;
Microvascular Decompression Surgery*;
Middle Aged;
Polytetrafluoroethylene;
Rhizotomy;
Torticollis*;
Vertebral Artery
- From:Journal of Korean Neurosurgical Society
1994;23(4):474-479
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of spasmodic torticollis in a 48-year-old man cured by micovascular decompression of the spinal accessory nerve with selective dorsal cervical rhizotomy of the first and second cervical nerves. The 11th nerve was compressed by the posterior inferior cerebellar artery originating from the vertebral artery at the C1 level. After intraoperative identification of each posterior rootlets of C1 and C2 nerves exclusively related with the involved sternocleidomastoid muscle(SCM) using the monopolar electric nerve stimulator, microvascular decompression with selective dorsal cervical rhizotomy was done using the Teflon felt and electrobipolar coagulator. The patient was significantly relieved from symptoms 1 week after operation.
