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Case Report

Treatment of Torsion Dystonia with Motor Point Block Using Phenol : A case report.

Kim, Seong Woo , Lee, Sun Kyoung , Shin, Jung Bin , You, Sung You , Lee, Won Suk , Vaq, Sung Gin
Journal of the Korean Academy of Rehabilitation Medicine 2006;30(6):661-664.
1Department of Rehabilitation Medicine, National Health Insurance Corporation Ilsan Hospital, Korea.
2Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. MDVAQ@yumc.yonsei.ac.kr
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Dystonia is an abnormal movement characterized by sustained muscle contractions, frequently causing twisting and repetitive movements or abnormal postures. Torsion dystonia is characterized by torsion spasms of muscle contraction, which distorts the limbs and trunk into dystonic postures. We present a case of a patient with torsion dystonia who was recalcitrant to oral medication or even surgical operations. This patient was treated with motor point block using 5% phenol solution. Using electromyographical guidance, phenol was injected into the paraspinal and upper extremity muscles, respectively. He showed reduction of dystonia and improvement of functional abilities. Motor point block using phenol can be considered as a tool of the management for patients with torsion dystonia. (J Korean Acad Rehab Med 2006; 30: 661-664)

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