Spastic Krivoshey called a form of focal dystonia, in which there is a pathologically incorrect positioning of the head. The appearance of the disease may occur regardless of the age of the patient. This is a fairly rare disease that occurs most often in women.
Symptoms of pathology
Experts say that spastic torticollis in adults can be observed on the background of dysfunction of the extrapyramidal system. It is part of the brain, which is the provision of automatic stereotypical movements.
The imbalance of neurotransmitters in the extrapyramidal system can lead to the violation of the body movements. The most frequently observed violations during the contraction of the muscles of the neck. This leads to an excess of impulses, which is why the muscles on one side of the neck are in constant tension and often reduced. What the wrong person is holding the head.
The pathological condition is quite often diagnosed on the background of hereditary predisposition.
If the person is a long period taking antipsychotics, it can lead to the disease.
The trauma of the head or neck are a fairly common cause of the pathological state. Infections in the brain, such as encephalitis, may also occur the disease. If a person has experienced severe emotional stress or emotional tension, it may also lead to the development of spasmodic torticollis.
Spastic torticollis in adults can occur for a variety of reasons. That is why they are advised the most careful attention to their health.
Symptoms of the disease
The appearance of the disease is most commonly seen in adults of working age. In the initial stages of spastic torticollis in adults can occur gradually or be acute. Quite often disease is accompanied by pain in the cervical spine. Improper neck position is the main manifestation of the pathological process, which can be seen by the naked eye. The patient finds it difficult to do involuntary movements of the neck.
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The most commonly occurrence of the disease observed in all the muscles of the neck. The process may be partially carried back muscles – lose trapezoid, sternocleidomastoid muscle, and a belt. Several muscles in the development of the disease are characterized by increased tone – that’s why patients have a wrong turn of the head.
There are several forms of the disease depending on the characteristics of the rotation of the head. If she turned to the side, it is called rotation, and if nominated and leans forward, antecollis. Head tilt to the side is called laterocollis and back – retrocollis. Most often patients are diagnosed with the mixed form.
If at the initial stage of the disease, the patient will make appropriate efforts, he will manage some time to keep my head right. Next is the application of corrective gestures. For example, when touching certain areas is observed the correction of the head position. For the correction of head tilt you need to fix her hands.
Disease in adults, the treatment for which is conducted by various methods, is accompanied not only malposition of the head, but its pathological movements. As a rule, these movements are involuntary. Since the neck muscles are constantly tense, then after a certain time they thicken. Initially, cervical dystonia develops in a single or two muscles. After a certain time, the amount involved in the pathological process of the muscles is greatly increased. The appearance of the pathology, most patients complain of pain, especially when turning the head.
In the morning manifestation of spasmodic torticollis is minimal. If the patient is anxious, experiencing a stressful situation, it leads to increased symptoms of the disease. If one supports his head with his hands or lies, it leads to a reduced appearance of unpleasant symptoms.
In some cases, spastic torticollis seen the trembling bones. Because of the long and intense spasms the patient may experience problems in the cervical spine. In some cases, there is the appearance of disc prolapse or compression radiculopathy.
In spastic torticollis patients observed pronounced symptoms. If the patient is showing the first signs of the disease, he must seek help from a doctor that will be able to correctly determine the type of the disease and prescribe rational treatment.
In the treatment of the disease pretty important role played by diagnostics. This is because it can help to determine the type of the disease and prescribe the most effective treatments. For the diagnosis of the patient, it is mandatory to consult with a neurologist.
The study of x-ray
The wording of the diagnosis can only be performed after the radiological examination, which includes functional tests.
New diagnostic event is rheoencephalography. This method enables the study of vessels. It can be used to determine the status of blood supply during turns and head tilts. It also gives you the opportunity to make an analysis of the tone of the arteries and blood vessels, venous tone, peripheral vascular resistance and lability of the vascular walls.
For the diagnosis of patients prescribed electromyographic study. It is also necessary to examine stem potentials and somatosensory potentials. Some patients to diagnose disease, prescribe transcranial magnetic stimulation.
Diagnosis of the disease should be conducted using a range of methods that will provide the opportunity to accurately diagnose and determine treatment.
Treatment of spasmodic torticollis in adults is a difficult process and requires a comprehensive approach. The pathological changes which underlie the syndrome, are very stable, which leads to difficulties in the choice of treatment. In most cases, therapy pathology is focused on the application of pharmaceutical drugs, by which shot spasms in the neck. To this end, the patients did purpose of agonists and Central anticholinergics. Today used Botulotoxin, which refers to the type And to support the neck muscles in a normal condition. Botulotoxin is injected directly into the sore muscles. When correctly administered medications within 4-6 months have seen its effect.
Quite effective in the treatment of a pathological condition is Baclofen, which belongs to the category of muscle relaxants. Also medical professionals assign patients receiving Clonazepam. This drug belongs to the category anticonvulsant, which is the highest quality muscle relaxation. In some cases, patients are treated with the use of Carbamazepine or Finlepsin.
In spastic torticollis allowed the simultaneous use of the above drugs and anticholinergics. The most effective pharmaceutical medicines in this group include Trihexyphenidyl and Akineton. You can also use Niacin. To facilitate the patient’s condition can be treated with antidepressants.
Post isometric relaxation of the muscles of the neck, which affects the peripheral lesion, is a highly effective method of treatment of the disease. In the treatment of the pathological process is the use of mobilization of the joints in the vertebral-motor segment.
In the third stage of treatment is correcting disturbed dynamic stereotype. This stage of therapy is rather long and requires the patient and responsible implementation of all recommendations of the doctor. In order to break the stereotype, used autofellatio. Also effective is physical therapy for spastic torticollis.
Spastic torticollis is quite a serious disease that has pronounced characteristics. When the first symptoms the patient should visit the doctor. Only a specialist can correctly diagnose and prescribe a rational treatment, which will lead to the relief of the patient.
The term “spastic torticollis” must be correctly interpreted. The disease can occur due to many reasons. Spastic torticollis – it is a pathological condition in which the correct position of the head is associated with dysfunction of the muscles of the neck. They receive excessive stimuli from the brain – this leads to increase in their tone. In this case, spasmodic torticollis is an acquired disease.