2018 AANS Annual Scientific Meeting-645. Selective Peripheral Denervation for Cervical Dystonia: Experience in 110 cases using a Muscle-Splitting Lateral Approach

645. Selective Peripheral Denervation for Cervical Dystonia: Experience in 110 cases using a Muscle-Splitting Lateral Approach

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Video Summary

In this video, Dr. Arce presents his experience with selective peripheral denervation for cervical dystonia in 110 cases using a muscle-splitting lateral approach. Cervical dystonia is a type of dystonia that affects the neck muscles, causing abnormal head and neck posture. Dr. Claude Bertrand introduced selective peripheral denervation in 1979, which involves the selective denervation of only the muscles involved in the involuntary movement. Dr. Arce's approach is a lateral muscle-splitting approach, which allows for a faster recovery and decreased postoperative pain. He reports excellent results in rotational, retrorotational, and lateral torticollis cases, with a success measure based on improvement in head and neck position. There was no mortality, and only one case of superficial infection as morbidity. The procedure is typically performed on non-responders to botulinum toxin treatment. Dr. Arce's patients have shown long-lasting results, and he believes it is a good operation that benefits many patients.

Asset Caption

Carlos A. Arce, MD, FAANS

Keywords

selective peripheral denervation

cervical dystonia

muscle-splitting lateral approach

head and neck posture

botulinum toxin treatment