Archives of physical medicine and rehabilitation · 2004
Phenol block for cervical dystonia: effects and side effects.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Takeuchi Naoyuki, Chuma Takayo, Mano Yukio
Аннотация
OBJECTIVE: To report on the effectiveness and side effects of 2% phenol block in patients with cervical dystonia (CD).
DESIGN: Case series.
SETTING: A rehabilitation department at a university medical center in Japan.
PARTICIPANTS: Sixteen patients (11 men, 5 women; mean age +/- standard deviation, 43.4+/-11.2y) with CD. The cause of the CD was unknown, and all cases were refractory to the oral medication and rehabilitation therapy.
INTERVENTION: Two percent phenol blocks guided by electromyography.
MAIN OUTCOME MEASURES: A blind analysis by neurologists of the Tsui score before and after 2 weeks of treatment with phenol block. Side effects were evaluated by another neurologist and patient report.
RESULTS: There was significant (P=.0002) improvement in neck movement and position, based on a reduced Tsui score, after the phenol block. However, 4 patients had a complication of sensory disturbance of the transverse cutaneous nerve of the neck area. The sensory disturbances decreased gradually and disappeared within 3 months, whereas the effects of the phenol block continued.
CONCLUSIONS: Phenol block can reduce the impact of CD that is refractory to therapy.
DESIGN: Case series.
SETTING: A rehabilitation department at a university medical center in Japan.
PARTICIPANTS: Sixteen patients (11 men, 5 women; mean age +/- standard deviation, 43.4+/-11.2y) with CD. The cause of the CD was unknown, and all cases were refractory to the oral medication and rehabilitation therapy.
INTERVENTION: Two percent phenol blocks guided by electromyography.
MAIN OUTCOME MEASURES: A blind analysis by neurologists of the Tsui score before and after 2 weeks of treatment with phenol block. Side effects were evaluated by another neurologist and patient report.
RESULTS: There was significant (P=.0002) improvement in neck movement and position, based on a reduced Tsui score, after the phenol block. However, 4 patients had a complication of sensory disturbance of the transverse cutaneous nerve of the neck area. The sensory disturbances decreased gradually and disappeared within 3 months, whereas the effects of the phenol block continued.
CONCLUSIONS: Phenol block can reduce the impact of CD that is refractory to therapy.