Cervical Dystonia

Common Name(s)

Cervical Dystonia

Cervical dystonia is a focal dystonia characterized by excessive pulling of the muscles of the neck and shoulder resulting in abnormal movements of the head. Most commonly, the head turns to one side or the other. Tilting sideways, or to the back or front may also occur.  The turning or tilting movements may be accompanied by tremor and/or soreness of the muscles of the neck and shoulders.  Cervical dystonia can occur at any age, although most individuals first experience symptoms in middle age. It often begins slowly and usually reaches a plateau over a few months or years. Treatment may include local intramuscular injections of botulinum toxin, analgesics, benzodiazepines (anti-anxiety medications), anticholinergics, physical therapy, or surgery.
 

Advocacy and Support Organizations

 

Condition Specific Organizations

Following organizations serve the condition "Cervical Dystonia" for support, advocacy or research.

The Bachmann-Strauss Dystonia & Parkinson Foundation

The Bachmann-Strauss Dystonia & Parkinson Foundation was established in 1995 to find better treatments and cures for the movement disorders dystonia and Parkinson's disease and to provide medical and patient information.

Last Updated: 15 Feb 2013

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Advocacy and Support Organizations

 

Condition Specific Organizations

Following organizations serve the condition "Cervical Dystonia" for support, advocacy or research.

The Bachmann-Strauss Dystonia & Parkinson Foundation

The Bachmann-Strauss Dystonia & Parkinson Foundation was established in 1995 to find better treatments and cures for the movement disorders dystonia and Parkinson's disease and to provide medical and patient information.

https://www.dystonia-parkinson.org

Last Updated: 15 Feb 2013

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Scientific Literature

Articles from the PubMed Database

Research articles describe the outcome of a single study. They are the published results of original research.
The terms "Cervical Dystonia" returned 99 free, full-text research articles on human participants. First 3 results:

Brain Metabolic Changes of Cervical Dystonia with Spinocerebellar Ataxia Type 1 after Botulinum Toxin Therapy.
 

Author(s): Akio Kikuchi, Atsushi Takeda, Naoto Sugeno, Emiko Miura, Kazuhiro Kato, Takafumi Hasegawa, Toru Baba, Masatoshi Konno, Ryuji Oshima, Shoichi Watanuki, Kotaro Hiraoka, Manabu Tashiro, Masashi Aoki

Journal: Intern. Med.. 2016 ;55(14):1919-22.

 

We occasionally observe long-term remission of cervical dystonia after several botulinum toxin treatments. However, botulinum toxin transiently acts on neuromuscular junctions. We herein report that a cervical dystonia patient with spinocerebellar ataxia type 1 could have long-term ...

Last Updated: 19 Jul 2016

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Practice guideline update summary: Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache: Report of the Guideline Development Subcommittee of the American Academy of Neurology.
 

Author(s): David M Simpson, Mark Hallett, Eric J Ashman, Cynthia L Comella, Mark W Green, Gary S Gronseth, Melissa J Armstrong, David Gloss, Sonja Potrebic, Joseph Jankovic, Barbara P Karp, Markus Naumann, Yuen T So, Stuart A Yablon

Journal: Neurology. 2016 May;86(19):1818-26.

 

To update the 2008 American Academy of Neurology (AAN) guidelines regarding botulinum neurotoxin for blepharospasm, cervical dystonia (CD), headache, and adult spasticity.

Last Updated: 11 May 2016

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Botulinum toxin treatment failures in cervical dystonia: causes, management, and outcomes.
 

Author(s): H A Jinnah, Emily Goodmann, Ami R Rosen, Marian Evatt, Alan Freeman, Stewart Factor

Journal: J. Neurol.. 2016 Jun;263(6):1188-94.

 

Botulinum toxin (BoNT) is highly effective in the treatment of cervical dystonia (CD), yet a significant proportion of patients report low levels of satisfaction following treatment and fail to follow up for repeated treatments. The goal of this study was to determine the reasons ...

Last Updated: 6 Jun 2016

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Reviews from the PubMed Database

Review articles summarize what is currently known about a disease. They discuss research previously published by others.
The terms "Cervical Dystonia" returned 7 free, full-text review articles on human participants. First 3 results:

Pain Relief in Cervical Dystonia with Botulinum Toxin Treatment.
 

Author(s): Carlos Henrique Ferreira Camargo, Lígia Cattai, Hélio Afonso Ghizoni Teive

Journal:

 

Dystonia is a neurological disorder characterized by intermittent or sustained muscle contractions that cause abnormal, usually repetitive, movements and postures. Dystonic movements can be tremulous and twisting and often follow a pattern. They are frequently associated with overflow ...

Last Updated: 26 Jun 2015

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Relevance of sonography for botulinum toxin treatment of cervical dystonia: an expert statement.
 

Author(s): Axel Schramm, Tobias Bäumer, Urban Fietzek, Susanne Heitmann, Uwe Walter, Wolfgang H Jost

Journal: J Neural Transm (Vienna). 2015 Oct;122(10):1457-63.

 

Botulinum neurotoxin A (BoNT A) is the first-line treatment for cervical dystonia. However, although BoNT A has a favorable safety profile and is effective in the majority of patients, in some cases the treatment outcome is disappointing or side effects occur when higher doses are ...

Last Updated: 2 Oct 2015

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Donepezil-induced cervical dystonia in Alzheimer's disease: a case report and literature review of dystonia due to cholinesterase inhibitors.
 

Author(s): Ken Ikeda, Masaru Yanagihashi, Masahiro Sawada, Sayori Hanashiro, Kiyokazu Kawabe, Yasuo Iwasaki

Journal: Intern. Med.. 2014 ;53(9):1007-10.

 

We herein report an 81-year-old woman with Alzheimer's disease (AD) in who donepezil, a cholinesterase inhibitor (ChEI), caused cervical dystonia. The patient had a two-year history of progressive memory disturbance fulfilling the NINCDS-ADRDA criteria for probable AD. Mini-Mental ...

Last Updated: 5 May 2014

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Clinical Trial Information This information is provided by ClinicalTrials.gov

Last Updated: 19 Jan 2016

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tDCS in Cervical Dystonia
 

Status: Not yet recruiting

Condition Summary: Cervical Dystonia

 

Last Updated: 19 Apr 2017

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Assessment of Brain Activities in Cervical Dystonia
 

Status: Not yet recruiting

Condition Summary: Cervical Dystonia

 

Last Updated: 21 Apr 2017

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