J Korean Acad Rehabil Med.  2006 Dec;30(6):661-664.

Treatment of Torsion Dystonia with Motor Point Block Using Phenol : A case report

Affiliations
  • 1Department of Rehabilitation Medicine, National Health Insurance Corporation Ilsan Hospital, Korea.
  • 2Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. MDVAQ@yumc.yonsei.ac.kr

Abstract

Dystonia is an abnormal movement characterized by sustained muscle contractions, frequently causing twisting and repetitive movements or abnormal postures. Torsion dystonia is characterized by torsion spasms of muscle contraction, which distorts the limbs and trunk into dystonic postures. We present a case of a patient with torsion dystonia who was recalcitrant to oral medication or even surgical operations. This patient was treated with motor point block using 5% phenol solution. Using electromyographical guidance, phenol was injected into the paraspinal and upper extremity muscles, respectively. He showed reduction of dystonia and improvement of functional abilities. Motor point block using phenol can be considered as a tool of the management for patients with torsion dystonia. MDVAQ@yumc.yonsei.ac.kr

Keyword

Torsion dystonia; Dystonic spasm; Motor point block; Phenol injection

MeSH Terms

Dyskinesias
Dystonia
Dystonia Musculorum Deformans*
Extremities
Humans
Muscle Contraction
Muscles
Phenol*
Posture
Spasm
Upper Extremity
Phenol
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