Influence of botulinum toxin on torticollis spasmodicus and psychical health after middle-term botulinum toxin treatment

Objectives: The aim of this study was to examine the effect of intramuscular botulinum toxin type a injections on clinical severity of torticollis spasmodicus and psychical health of patients after some time of botulinum toxin pre-treatment. Furthermore, we looked at influence of duration of disease and botulinum toxin therapy on dystonia severity and psychical distress. Methods: 22 patients with torticollis spasmodicus already pre-treated for some time with botulinum toxin type a were included. Severity of torticollis was assessed with the ‘TWSTRS-Scale’, psychical distress was evaluated with the questionnaires…