ABSTRACT
Twenty-two cases with spastic torticollis in children are analyzed. This syndrome was the only suffering in ten children and was a component of generalized forms of deforming muscular dystonia in twelve. In such cases the time course of spastic torticollis clinical picture, possible alteration of tonic and clinical forms, involvement as a rule of hands and shoulders muscles permit regarding this condition as a variant of local deforming muscular dystonia and not an individual hyperkinesis. The efficacy of routine drug therapy administered to these patients directly depended on the form and pattern of spastic torticollis. Positive shifts were observed in 90.9% of patients, in 40.9% a marked positive effect was attained.
Subject(s)
Torticollis/diagnosis , Adolescent , Child , Chronic Disease , Combined Modality Therapy , Drug Therapy, Combination , Dystonia Musculorum Deformans/classification , Dystonia Musculorum Deformans/diagnosis , Dystonia Musculorum Deformans/therapy , Female , Humans , Male , Muscle Spasticity/classification , Muscle Spasticity/diagnosis , Muscle Spasticity/therapy , Remission Induction , Torticollis/classification , Torticollis/therapyABSTRACT
Thirty-eight children with deforming muscular dystonia were treated. Eighteen of them suffered from rigid, seven from hyperkinetic, and 13 from, mixed forms of the disease. To patients with rigid condition DOPA-containing drugs (nakom) were administered in combination with cholinolytics, diphenin, midocalm. If the condition proved resistant to therapy, parlodel, remantadin, antidepressants were added. To patients with hyperkinetic forms haloperidol, clonazepam, dephenin, finlepsin were administered. In mixed forms combinations of nakom with haloperidol and clonazepam were prescribed. The best results were attained in therapy of rigid forms (77% of all rigid forms), particularly of DOPA-dependent forms and those with local involvement.
