[Clinical and CT aspects of muscular dystonias].

A Quattrini, F Cinti, F Cianci, A Ortenzi, A Paggi, R Silvestri
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Abstract

Clinical, EMG, genetic and CT investigations were performed on 16 subjects suffering from Torsion Dystonia. We obtained the following results: i) genetically most cases were sporadic, only two could be considered autosomic dominant; ii) one of the pedigrees, with many patients, confirmed that spasmodic torticollis is not a distinct form from that of Dystonia Muscolorum Deformans; the two forms must be included in one disease called "Torsion Dystonia", as maintained by some Authors; iii) we found that the various drugs employed, rarely produced improvement, although benzodiaze4pines have given some benefit; iv) CT findings were not specific, though useful for differential diagnosis.

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肌张力障碍的临床和CT表现。
本文对16例扭转肌张力障碍患者进行了临床、肌电图、遗传学和CT检查。我们得到了以下结果:i)遗传上大多数病例是散发的,只有两个可以认为是常染色体显性的;ii)一个有许多患者的谱系证实,痉挛性斜颈与肌张力障碍并不是一种不同的形式;一些作者认为,这两种形式必须包括在一种称为“扭转肌张力障碍”的疾病中;Iii)我们发现所使用的各种药物很少产生改善,尽管苯二氮卓类药物有一些好处;iv) CT表现不明确,但有助于鉴别诊断。
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