Sonographic Guide for Botulinum Toxin Injections of the Neck Muscles in Cervical Dystonia

Bayram Kaymak; Murat Kara; Eda Gürçay; Levent Özçakar

doi:10.1016/j.pmr.2017.08.009

Sonographic Guide for Botulinum Toxin Injections of the Neck Muscles in Cervical Dystonia

Gaziler Training and Research Hospital

Research output: Contribution to journal › Review article › peer-review

30 Citations (Scopus)

Abstract

Intramuscular botulinum toxin (BoTX) injection is the first-line treatment of cervical dystonia. Poor treatment outcomes and some side effects, however, have been reported after BoTX applications. One of the most important reasons is incorrect localization of the needle during toxin injections. Without imaging, it is impossible to verify precise needle positioning in the proper muscle. Ultrasound has been recommended because of its high capability in illustrating most of the neck muscles. This review article discusses how ultrasound imaging can be used to scan/access neck muscles, mainly from the perspective of BoTX injections.

Original language	English
Pages (from-to)	105-123
Number of pages	19
Journal	Physical Medicine and Rehabilitation Clinics of North America
Volume	29
Issue number	1
DOIs	https://doi.org/10.1016/j.pmr.2017.08.009
Publication status	Published - Feb 2018

Keywords

Botulinum toxin
Cervical dystonia
Innervation zone
Muscle
Ultrasound

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10.1016/j.pmr.2017.08.009

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title = "Sonographic Guide for Botulinum Toxin Injections of the Neck Muscles in Cervical Dystonia",

abstract = "Intramuscular botulinum toxin (BoTX) injection is the first-line treatment of cervical dystonia. Poor treatment outcomes and some side effects, however, have been reported after BoTX applications. One of the most important reasons is incorrect localization of the needle during toxin injections. Without imaging, it is impossible to verify precise needle positioning in the proper muscle. Ultrasound has been recommended because of its high capability in illustrating most of the neck muscles. This review article discusses how ultrasound imaging can be used to scan/access neck muscles, mainly from the perspective of BoTX injections.",

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AU - Kara, Murat

AU - Gürçay, Eda

AU - Özçakar, Levent

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AB - Intramuscular botulinum toxin (BoTX) injection is the first-line treatment of cervical dystonia. Poor treatment outcomes and some side effects, however, have been reported after BoTX applications. One of the most important reasons is incorrect localization of the needle during toxin injections. Without imaging, it is impossible to verify precise needle positioning in the proper muscle. Ultrasound has been recommended because of its high capability in illustrating most of the neck muscles. This review article discusses how ultrasound imaging can be used to scan/access neck muscles, mainly from the perspective of BoTX injections.

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KW - Muscle

KW - Ultrasound

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Sonographic Guide for Botulinum Toxin Injections of the Neck Muscles in Cervical Dystonia

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