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Cervical Dystonia: A Case Study

25 years old male with a history of Cervical Dystonia for 3 years.

History: 3 years ago patient suffered from depression and was prescribed medication that caused him a jerked neck movement, spasmodic torticollis

Other medications: Effexor, Lorazepam, Benzatropine ,Tetrabenazine   Aripiprazole

On assessment: Patient is anxious. Neck is extended and in a rotation position to the right. Any attempt to change the position of the head, or all the body accompany by involuntary jerking movement. Patient is unable to sit, has to stand straight.

Tongue with greasy yellow coating, red tip

Pulse: thin, wiry and slippery

Chinese medicine diagnosis: Phlegm-wind

First visit: May 22, 2014

Points: Scalp acupuncture to calm the mind, eliminate the wind, open orifices

Second visit: May 24, 2014

Approximately 60% of the symptoms improved since the last treatment. Feels calmer, able to sit, still has jerking movements once turning his head.

Points: Scalp acupuncture, light stimulation

In addition, prescribed Chinese herbal medicine:  Meng Shi Gui Tai Tang for 3 days

+ Sheng Tie Luo Yin modification afterward

Third visit: May 27, 2014

After the last session and herbs almost all symptoms are gone. Feels calm, neck is in straight, normal position, able to rotate his neck without discomfort.

Treatment:  Scalp acupuncture. Body points:  GB 14, Liv 3, St 40, 36, PC 7, CV 6,12,23, Yin Tan (extra)

Forth visit:  Patient states that all his symptoms are gone

Treatment: The same as on the 3rd

After last session patient called the office and reported that all his symptoms are gone

Follow Up: after 1 month his mother reports that patient is stable, can move his neck and doesn’t experience any problem

Conclusion. Cervical dystonia is a movement disorder that accompanied by jerking, involuntary movements of the neck and muscle contractions. The cause of the disease is unknown, but most likely is due to abnormal signals from different parts of the brain that control normal body movements. Stimulation of acupuncture points increases the blood flow in these areas in the brain. There is a small study that shows that acupuncture can be potentially used in the treatment of cervical dystonia in addition to standard treatment or botulin injections.

Scalp acupuncture is a new form of acupuncture that was developed in 70th of the last century. Scalp acupuncture utilize a traditional method of acupuncture and modern neuroscience. It’s widely used in China for treatment of different neurological conditions such as past-stroke recovery, Multiple sclerosis and movement disorders, like Parkinson’s disease.

Disclaimer: results may vary from person to person. The case study is for education purposes only. Sunrise Neuro- Acupuncture Integrative clinic does not claim to cure or prevent any disease or illness.

Wang, W., Xie, C., Lu, L. et al. A systematic review and meta-analysis of Baihui (GV20)-based scalp acupuncture in experimental ischemic stroke. Sci Rep 4, 3981 (2015). https://doi.org/10.1038/srep03981

Bega D, Park K, Grimone A, Lin F, Ring M. Acupuncture as Adjuvant Therapy for the Management of Cervical Dystonia. Med Acupunct. 2018;30(4):198‐203. doi:10.1089/acu.2018.1291

Zeng BY. (2018) Scalp Acupuncture Treatment for Neurological Disorders. J Ageing Restor Med, 1(2): 34-40

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