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Anterocollis: clinical features and treatment options.

Abstract

BACKGROUND

Anterocollis (AC) is a form of cervical dystonia (CD) that produces patterned, repetitive muscle contractions that result in neck flexion. It has been mainly described in the context of parkinsonian movement disorders including Parkinson's disease and multiple system atrophy.

MATERIAL/METHODS

We performed a review of consecutive AC patients seen in our Movement Disorders Clinic over a 15-year period. The diagnosis of AC was based on degree of abnormal neck anteroflexion.

RESULTS

Out of 399 CD patients 27 (6.8%) had features of AC. AC was more prevalent in women (67.3%). It was associated with neuroleptic exposure, PD and a family history of movement/neurological disorder. No definite cases with MSA and AC were described in our cohort. Botulinum toxin injections and tetrabenazine produced clinical improvement.

CONCLUSIONS

The demographic and phenotypic features and treatment outcomes of AC in our cohort were somewhat different from other types of CD.

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  • Publisher Full Text
  • Authors

    Papapetropoulos S, Tuchman A, Sengun C, Russell A, Mitsi G, Singer C

    Source

    MeSH

    Aged
    Botulinum Toxins
    Comorbidity
    Female
    Humans
    Male
    Middle Aged
    Torticollis
    Treatment Outcome

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    18758411