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| The first 150 words of the full text of this article appear below. |
In the paper by Ford et al (this volume, pp
472-478), the authors describe the results of an open label,
retrospective study of a selective denervation for severe cervical
dystonia (torticollis) in 16 patients refractory to injections with
botulinum toxin type A. Using functional capacity scales they concluded
that six (37.5%) patients had "a moderate or complete return of
normal neck function". Despite some improvement in 12 of 14 (85.7%)
patients on the Toronto western spasmodic torticollis rating scale
(TWSTRS) dystonia rating scale applied to "blinded" ratings of
videotaped examinations, the surgery failed to return patients to their
occupations. The results of this study are comparable with those of
Krauss et al1 who recently reported the
effects of 70 intradural or extradural approaches in 46 patients with
severe cervical dystonia. During a mean duration of follow up of 6.5 years, 21 (46%) of the patients reported excellent or marked
improvement on a global outcome scale. There was no
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