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

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2006;30(6):661-664.

Kim, Seong Woo , Lee, Sun Kyoung , Shin, Jung Bin , You, Sung You , Lee, Won Suk , Vaq, Sung Gin

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

염전 근긴장이상증 환자에서 페놀 운동점 차단 치료 ⁣증례 보고⁣

김성우, 이선경, 신정빈, 유성, 이원석, 박성진¹

국민건강보험공단 일산병원 재활의학과, ¹연세대학교 의과대학 재활의학교실

Abstract

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)

Key Words: Torsion dystonia, Dystonic spasm, Motor point block, Phenol injection