Accuracy of muscle localization without EMG: Implications for treatment of limb dystonia

被引：75

作者：

Molloy, FM

Shill, HA

Kaelin-Lang, A

Karp, BI

机构：

[1] NINCDS, Human Motor Control Sect, NIH, Bethesda, MD 20892 USA

[2] NINCDS, Cort Physiol Sect, Med Neurol Branch, NIH, Bethesda, MD 20892 USA

来源：

NEUROLOGY | 2002年 / 58卷 / 05期

关键词：

D O I：

10.1212/WNL.58.5.805

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Although botulinum toxin is an effective treatment for focal dystonia, the importance of electromyography (EMG) in identifying muscles and guiding injections is unclear. The authors examined the accuracy of muscle localization in 38 muscles in patients with focal hand dystonia. without EMG guidance. Only 37% of needle placement attempts reached the target muscles or muscle fascicles. This study demonstrates that EMG guidance is needed for correct localization of desired muscles.

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页码：805 / 807

页数：3

相关论文

共 11 条

[1] HISTOLOGIC ASSESSMENT OF DOSE-RELATED DIFFUSION AND MUSCLE-FIBER RESPONSE AFTER THERAPEUTIC BOTULINUM-A TOXIN INJECTIONS [J].

BORODIC, GE ;

FERRANTE, R ;

PEARCE, LB ;

SMITH, K .

MOVEMENT DISORDERS, 1994, 9 (01) :31-39

[2] TREATMENT OF FOCAL DYSTONIAS OF THE HAND WITH BOTULINUM TOXIN INJECTIONS [J].

COHEN, LG ;

HALLETT, M ;

GELLER, BD ;

HOCHBERG, F .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1989, 52 (03) :355-363

[3] BOTULINUM TOXIN INJECTION FOR SPASMODIC TORTICOLLIS - INCREASED MAGNITUDE OF BENEFIT WITH ELECTROMYOGRAPHIC ASSISTANCE [J].

COMELLA, CL ;

BUCHMAN, AS ;

TANNER, CM ;

BROWNTOMS, NC ;

GOETZ, CG .

NEUROLOGY, 1992, 42 (04) :878-882

[4] DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL OF BOTULINUM TOXIN INJECTIONS FOR THE TREATMENT OF SPASMODIC TORTICOLLIS [J].

GREENE, P ;

KANG, U ;

FAHN, S ;

BRIN, M ;

MOSKOWITZ, C ;

FLASTER, E .

NEUROLOGY, 1990, 40 (08) :1213-1218

[5] BOTULINUM TOXIN INJECTIONS FOR CERVICAL DYSTONIA [J].

JANKOVIC, J ;

SCHWARTZ, K .

NEUROLOGY, 1990, 40 (02) :277-280

[6] THERAPEUTIC USES OF BOTULINUM TOXIN [J].

JANKOVIC, J ;

BRIN, MF .

NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (17) :1186-1194

[7] A DOUBLE-BLIND TRIAL OF BOTULINUM TOXIN-A IN TORTICOLLIS, WITH ONE YEAR FOLLOW-UP [J].

MOORE, AP ;

BLUMHARDT, LD .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1991, 54 (09) :813-816

[8]

Ross MH, 1997, MUSCLE NERVE, V20, P593, DOI 10.1002/(SICI)1097-4598(199705)20:5<593::AID-MUS8>3.0.CO

[9]

2-4

[10] Cervical dystonia and botulinum treatment: Is electromyographic guidance necessary? [J].

Speelman, JD ;

Brans, JWM .

MOVEMENT DISORDERS, 1995, 10 (06) :802-802