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Selective peripheral denervation instead of scalenotomy ?

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Old 05-29-2012, 01:59 AM #1
boytos boytos is offline
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Default Selective peripheral denervation instead of scalenotomy ?
Would it be better ? Is it the same thing ?

"In very severe cases of disabling ST when pharmacotherapies including Botox injections have failed or the side effects are too severe, selective peripheral denervation may offer relief of symptoms. Selective peripheral denervation is a procedure in which nerves are removed at the point where they enter the selected hyperactive muscles; while innervation to uninvolved muscles is maintained. Studies have indicated that this procedure is useful in selected patients. Positive response to prior botulinum toxin therapy appears to be a very good indicator of outcome following selective peripheral denervation."
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Old 05-29-2012, 12:20 PM #2
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Quote:
Originally Posted by boytos View Post
Would it be better ? Is it the same thing ?

"In very severe cases of disabling ST when pharmacotherapies including Botox injections have failed or the side effects are too severe, selective peripheral denervation may offer relief of symptoms. Selective peripheral denervation is a procedure in which nerves are removed at the point where they enter the selected hyperactive muscles; while innervation to uninvolved muscles is maintained. Studies have indicated that this procedure is useful in selected patients. Positive response to prior botulinum toxin therapy appears to be a very good indicator of outcome following selective peripheral denervation."
Can you post the source of this article?
thanks,
JKL
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Old 05-29-2012, 02:58 PM #3
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http://www.aetna.com/cpb/medical/data/400_499/0401.html

Selective peripheral denervation was performed in 111 patients with total or marked relief of symptoms in 97 (87%). There have been no complications and the only sequelae have been atrophy of the denervated muscles and anesthesia in the territory of the occipital nerves.

http://www.anesthesia-analgesia.org/...3/551.full.pdf

The purpose of selective peripheral denervation in torticollis is to release the abnormal contracture of the muscles involved while preserving the function of other muscles. The procedure alleviates abnormal posture and symptoms yet maintains normal neck movement (1,2)
Last edited by boytos; 05-29-2012 at 03:27 PM.
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chroma (06-01-2012), jkl626 (05-29-2012)
Old 05-29-2012, 07:12 PM #4
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very interesting. has anyone suggested this surgery to you? I dont see any mention of TOS but I also have Cervical dystonia(Tortocollis). I will ask my Dr. about it next time I see him.
thanks fo sending the info,
jkl
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Old 05-29-2012, 11:00 PM #5
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I know it is relatively invasive for torticcoli as it involve SCM and trapezius, but i want to know if it is invasive for the useless AS as well.
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