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Anatomy-guided injections of botulinum neurotoxin in neck muscles: how accurate is needle placement?
- Source :
- European journal of neurologyReferences. 27(11)
- Publication Year :
- 2020
-
Abstract
- BACKGROUND AND PURPOSE In cervical dystonia, the accuracy of botulinum neurotoxin (BoNT) injections may influence the response to the treatment. METHODS We used ultrasound to evaluate the accuracy of anatomy-guided injections of BoNT in the neck muscles. RESULTS A total of 56 consecutive patients and 332 injections were evaluated. The overall accuracy was 76.6%. The lowest accuracy (67.9%) was observed for the splenius capitis muscle. CONCLUSIONS Anatomic guidance of BoNT injections in the neck muscles is often inaccurate. Imaging guidance may improve the accuracy of BoNT injections in cervical dystonia.
- Subjects :
- medicine.medical_specialty
Injections, Intramuscular
03 medical and health sciences
0302 clinical medicine
Neck Muscles
Medicine
Humans
030212 general & internal medicine
Cervical dystonia
Botulinum Toxins, Type A
Torticollis
Ultrasonography
Dystonia
Splenius capitis muscle
business.industry
Ultrasound
Imaging guidance
medicine.disease
Neck muscles
Botulinum neurotoxin
Neurology
Neuromuscular Agents
Needle placement
Neurology (clinical)
Radiology
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 14681331
- Volume :
- 27
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- European journal of neurologyReferences
- Accession number :
- edsair.doi.dedup.....2ef53948555b544ee061adca2b7c606b