Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Acta Neurochirurgica
Published in: Acta Neurochirurgica 10/2009

01-10-2009 | Clinical Article

Microvascular decompression of the accessory nerve for treatment of spasmodic torticollis: early results in 12 cases

Authors: Kehua Sun, Yicheng Lu, Guohan Hu, Chun Luo, Lijun Hou, Juxiang Chen, Xiaojun Wu, Qiyong Mei

Published in: Acta Neurochirurgica | Issue 10/2009

Login to get access

Abstract

Purpose

To describe the early effectiveness of microvascular decompression (MVD) for the treatment of spasmodic torticollis (ST).

Methods

Twelve patients with spasmodic torticollis were treated by microvascular decompression of the accessory nerves using a microscopic neurosurgical technique via the retrosigmoid approach. The most common compressing blood vessels were the ipsilateral posterior inferior cerebral artery (PICA) and/or the vertebral artery. The intraoperative monitor was introduced to detect the accessory nerve and to avoid unnecessary damage to the nerve.

Results

Ten patients were cured (83%), and the other two (17%) improved with moderate spasms. In most cases, the improvement was noticed 1 week after the operation. No operation-related complications were observed during the follow-up period, which ranged from 2 months to 3 years.

Conclusions

The early effect of MVD for some patients with spasmodic torticollis was satisfactory, but the long-term results need to be assessed further.
Literature
1.
Adams CB (1989) Microvascular compression: an alternative view and hypothesis. J Neurosurg 70:1–12CrossRefPubMed
2.
Bertrand C, Molina-Negro P, Martinez SN (1978) Combined stereotactic and peripheral surgical approach for spasmodic torticollis. Appl Neurophysiol 41:122–133PubMed
3.
Choppy-Jacolin M, Ferrey G, Demaria C (1977) A psychometric stury of 34 patients afflicted with spasmodic torticollis. Acta Neurol Scand 55:483–492CrossRefPubMed
4.
5.
6.
Freckmann N, Hagenah R, Herrmann HD, Muller D (1981) Treatment of neurogenic torticollis by microvascular lysis of the accessory nerve roots—indication, technique, and first results. Acta Neurochir (Wien) 59:167–175CrossRef
7.
Freckmann N, Hagenah R, Herrmann HD, Muller D (1986) Bilateral microsurgical lysis of the spinal accessory nerve roots for treatment of spasmodic torticollis. Follow-up of 33 cases. Acta Neurochir (Wien) 83:47–53CrossRef
8.
Herz E, Glaser GH (1949) Spasmodic torticollis; clinical evaluation. Arch Neurol Psychiatry 61:227–239PubMed
9.
Jannetta PJ, Segal R, Wolfson SK Jr (1985) Neurogenic hypertension: etiology and surgical treatment. I. Observations in 53 patients. Ann Surg 201:391–398CrossRefPubMed
10.
Jho HD, Jannetta PJ (1995) Microvascular decompression for spasmodic torticollis. Acta Neurochir (Wien) 134:21–26CrossRef
11.
Magyar-Lehmann S, Antonini A, Roelcke U, Maguire RP, Missimer J, Meyer M, Leenders KL (1997) Cerebral glucose metabolism in patients with spasmodic torticollis. Mov Disord 12:704–708CrossRefPubMed
12.
Motomochi M, Makita Y, Nabeshima S, Itagaki T, Tei T, Imataka K (1983) Surgical treatment and long-term result of spasmodic torticollis. Neurol Med Chir (Tokyo) 23:741–746CrossRef
13.
Mundinger F, Riechert T, Disselhoff J (1972) Long-term results of stereotactic treatment of spasmodic torticollis. Confin Neurol 34:41–50CrossRef
14.
Nagata K, Matsui T, Joshita H, Shigeno T, Asano T (1989) Surgical treatment of spasmodic torticollis: effectiveness of microvascular decompression. No To Shinkei 41:97–102PubMed
15.
Nakashima K, Thompson PD, Rothwell JC, Day BL, Stell R, Marsden CD (1989) An exteroceptive reflex in the sternocleidomastoid muscle produced by electrical stimulation of the supraorbital nerve in normal subjects and patients with spasmodic torticollis. Neurology 39:1354–1358PubMed
16.
Pagni CA, Naddeo M, Faccani G (1985) Spasmodic torticollis due to neurovascular compression of the 11th nerve. Case report. J Neurosurg 63:789–791CrossRefPubMed
17.
Shima F, Fukui M, Kitamura K, Kuromatsu C, Okamura T (1988) Diagnosis and surgical treatment of spasmodic torticollis of 11th nerve origin. Neurosurgery 22:358–363CrossRefPubMed
Metadata
Title
Microvascular decompression of the accessory nerve for treatment of spasmodic torticollis: early results in 12 cases
Authors
Kehua Sun
Yicheng Lu
Guohan Hu
Chun Luo
Lijun Hou
Juxiang Chen
Xiaojun Wu
Qiyong Mei
Publication date
01-10-2009
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 10/2009
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-009-0455-6

Other articles of this Issue 10/2009

Acta Neurochirurgica 10/2009 Go to the issue

Book Review

E.R. Laws Jr, J.P. Sheehan (eds): Pituitary surgery—a modern approach

Clinical Article

Outcome of fully awake craniotomy for lesions near the eloquent cortex: analysis of a prospective surgical series of 79 supratentorial primary brain tumors with long follow-up

Clinical Article

Influence of cranial morphology on the location of chronic subdural haematoma

Clinical Article

Quantification of spatial consistency in the Talairach and Tournoux Stereotactic Atlas

Case Report

Traumatic fistula between the middle meningeal artery and the sphenoparietal sinus

Clinical Article

Reducible and irreducible os odontoideum in childhood treated with posterior wiring, instrumentation and fusion. Past or present?