Patient No | Age at onset | Duration of follow up (months) | Primary directions of torticollis | Pain | Resistance to botulinum toxin | Baseline ADL capacity and effect of surgery on ADLs | Occupational status before first operation | |
---|---|---|---|---|---|---|---|---|
1 | 36 | 84 | Rotation | Y | Secondary | Impaired for ADLs; no benefit | At home | |
2 | 54 | 89 | Rotation | Y | Secondary | Impaired for ADLs; improved | At home | |
3 | 53 | 70 | Rotation | Y | Primary | Disabled for ADLs; no benefit | Disabled | |
4 | 39 | 70 | Rotation | Y | Secondary | Impaired for ADLs; improved with moderate residual disability | At home | |
5 | 54 | 20 | Retrocollis | N | Primary | Impaired for ADLs; no benefit | Disabled | |
6 | 28 | 46 | Retrocollis | Y | Secondary | Impaired for ADLs; no benefit | Disabled | |
7 | 54 | 63 | Rotation | Y | — | Impaired for ADLs; improved with mild residual disability | Disabled | |
8 | 49 | 48 | Rotation | Y | Secondary | Impaired for ADLs; improved with mild residual disability | At home | |
9 | 36 | 111 | Rotation and laterocollis | N | Secondary | Impaired for ADLs; improved to normal | Working full time | |
10 | 54 | 89 | Laterocollis | Y | Secondary | Impaired for ADLs; no benefit | Working full time | |
11 | 41 | 76 | Rotation | Y | Secondary | Disabled for ADLs; improved with mild residual disability | Disabled | |
12 | 44 | 14 | Rotation and laterocollis | Y | Secondary | Impaired for ADLs; improved with moderate residual disability | Working full time | |
13 | 47 | 27 | Rotation | Y | — | Impaired for ADLs; improved with moderate residual disability | Disabled | |
14 | 50 | 75 | Rotation | Y | Secondary | Impaired for ADLs; improved with mild residual disability | At home | |
15 | 44 | 53 | Laterocollis | Y | Primary | Impaired for ADLs; improved with moderate residual disability | Disabled | |
16 | 50 | 17 | Laterocollis | Y | Secondary | Impaired for ADLs; improved with moderate residual disability | Disabled |
Most recent occupational status | Medications at follow up | Long term effect on pain | Need for more surgery | Final overall status1 |
At home | Same | No benefit | — | 0 |
At home | Same | Unknown | — | 1 |
Still disabled | Same | No benefit | Revision (1), thalamotomy | 0 |
At home | Reduced | Improvement; residual pain | — | 1 |
Still disabled | Increased | — | — | 0 |
Still disabled | Same | No benefit | Revisions (2) | 0 |
Retired | Reduced | Improvement; residual pain | Revision (1) | 2 |
At home | Same; still receives botulinum toxin injections | Improvement; residual pain | — | 2 |
Working full time | Reduced | — | Revision (1) | 3 |
Disabled | Same | No benefit | — | 0 |
Still disabled | Reduced | Improvement; mild residual pain | Revision (1) | 2 |
Disabled | Off meds | Complete relief | — | 2 |
Still disabled | Off meds | Improvement; residual pain | — | 1 |
At home | Reduced | Improvement; residual pain | Revision (1) | 2 |
Still disabled | Off meds | Improvement; residual pain | — | 1 |
Still disabled | — | No benefit | — | 1 |
1-150 Overall rating of dystonia severity based on disability:
0=No improvement in dystonia, or worse dystonia.
1=Mild improvement in dystonia, with moderate residual disability.
2=Moderate improvement in dystonia, enabling patient to function with only minor limitation or discomfort.
3=Complete or almost complete resolution of torticollis and return of normal function.
ADLs=activities of daily living.