■患有帕金森病和相关疾病(PDRD)的患者可能会出现头部下垂综合征(DHS),目前还没有有效的治疗方法。
■评估将利多卡因注射到双侧斜角肌和颈部紧身胸衣中对头部下垂综合征的影响。
■我们进行了针状肌电图评估,胸锁乳突肌(SCM),肩胛骨提肌,脾炎,和斜方肌.患者连续4/5天接受2.5-5ml的1%利多卡因注射到斜角肌的两侧,并被指示佩戴颈部紧身胸衣。我们测量了颈部弯曲角度,在水平线和穿过耳道和眶窝的直线之间形成,干预前(基线)和后(第8天和第90天)。
■7名男性和8名女性(平均年龄,68.9岁;范围为56至85岁)的PDRD伴头部下垂综合征患者被纳入本研究。针状肌电图检查显示,当颈部位置校正时,所有患者的斜角肌异常放电;然而,部分患者未出现SCM肌肉异常放电.在第8天,我们观察到15例患者中有13例的颈部屈曲角度有所改善,从平均27.7°±13.9°到11.7±14.6°。在第90天,平均颈屈曲角度为15.3°±17.2°。
■将利多卡因注射入斜角肌和颈部紧身胸衣是PDRD患者DHS的有效治疗方案。
UNASSIGNED: Patients with Parkinson\'s disease and related disorders (PDRD) may exhibit dropped head syndrome (DHS), which does not yet have an effective treatment.
UNASSIGNED: To evaluate the effect of combining lidocaine injection into the bilateral scalene muscles and neck corset wearing on dropped head syndrome.
UNASSIGNED: We performed needle electromyography assessments of the scalene, sternocleidomastoid (SCM), levator scapulae, splenius capitis, and trapezius muscles. Patients received 2.5-5 ml injections of 1% lidocaine into both sides of the scalene muscles for 4/5 consecutive days and were instructed to wear a neck corset. We measured the neck flexion angle, which formed between the horizontal line and the straight line passing through the ear canal and orbital fossa, before (baseline) and after (Day 8 and Day 90) the intervention.
UNASSIGNED: Seven males and eight females (mean age, 68.9 years; range 56 to 85 years) who had PDRD with dropped head syndrome were enrolled in this study. Needle electromyography examination revealed abnormal discharge of the scalene muscles in all patients when the neck position was corrected; however, some patients did not show abnormal discharge of the SCM muscle. At Day 8, we observed an improvement of the neck flexion angle in 13 of the 15 patients, from an average of 27.7° ± 13.9° to 11.7 ± 14.6°. At Day 90, the average neck flexion angle was 15.3° ± 17.2°.
UNASSIGNED: Combining lidocaine injection into the scalene muscles and neck corset wearing is an effective treatment regimen for DHS in patients with PDRD.