Cervical dystonia

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Definition

By Mayo Clinic staff

Cervical dystonia, also called spasmodic torticollis, is a painful condition in which your neck muscles contract involuntarily, causing your head to twist to one side. Cervical dystonia can also cause your head to uncontrollably tilt forward or back.

A rare disorder that can occur at any age, even infancy, cervical dystonia most often occurs in middle-aged women. Symptoms generally begin gradually and then reach a point where they don't get any worse.

There is no cure for cervical dystonia, but the disorder sometimes resolves on its own. Injecting botulinum toxin into the affected muscles often reduces the signs and symptoms of cervical dystonia. Rarely, surgery may be necessary.

References
  1. Dystonias fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/dystonias/dystonias.htm. Accessed Oct. 24, 2008.
  2. Bang MS, et al. Cervical dystonia. In: Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/108327421-3/763666283/1678/124.html#4-u1.0-B978-1-4160-4007-1..50107-3_1714. Accessed Oct. 24, 2008.
  3. Stacy M. Epidemiology, clinical presentation and diagnosis of cervical dystonia. Neurological Clinics. 2008;26(suppl 1):23.
  4. Singer C, et al. Cervical dystonia: Etiology and pathophysiology. Neurological Clinics. 2008;26(suppl 1):9.
  5. Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Oct. 29, 2008.
  6. Swope D, et al. Treatment recommendations and practical applications of botulinum toxin treatment of cervical dystonia. Neurological Clinics. 2008;26(suppl 1):54.
  7. Bajwa ZH. Botulinum toxins for dystonia, spasticity and chronic pain. http://www.uptodate.com/home/index.html. Accessed Oct. 30, 2008.
  8. Su M, et al. Anticholinergic poisoning. http://www.uptodate.com/home/index.html. Accessed Oct. 30, 2008.
  9. NINDS deep brain stimulation for Parkinson's disease information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/deep_brain_stimulation/deep_brain_stimulation.htm. Accessed Oct. 30, 2008.

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Jan. 9, 2009

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