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Journal of the Korean Academy of Rehabilitation Medicine 2010;34(1):91-95.
Verification of the Dystonic Muscles Using 18F-Fluorodeoxyglucose Positron Emission Tomography in a Patient with Cervical Dystonia: A case report.
Choi, Kyung Pil , Chung, Chin Wook , Sung, Duk Hyun
Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. yays.sung@samsung.com
경부 이상근긴장증에서 양전자 방출 촬영을 이용한 이상근긴장 근육 확인−증례 보고−
최 경 필, 정 진 욱, 성 덕 현
성균관대학교 의과대학 삼성서울병원 재활의학교실
Abstract
Treatment of choice for cervical dystonia is botulinum toxin (BTX) injection and surgical interventions can be tried in refractory cases. Success of BTX injection depends on precise muscle selection and adequate dosage of BTX. 18F- fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) can evaluate the metabolism of the superficial and deep cervical muscles with high resolution and may be useful for identifying dystonic muscles in CD. We report a satisfactory result of BTX injection using 18F-FDG PET/CT for identification of dystonic muscles in a patient with cervical dystonia who previously failed to respond to botulinum toxin injection and denervation operation. (J Korean Acad Rehab Med 2010; 34: 91-95)
Key Words: Cervical dystonia, Botulinum toxin, Positron emission tomography


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