18F-FDG PET/CT could Precisely Localize Hypermetabolic Cervical Muscles in a Patient Affected by Idiopathic Cervical Dystonia. Issue 1 (March 2013)

• Record Type: Journal Article
• Authors: Paghera, Barbara; Caobelli, Federico; Motta, Federica; Giubbini, Raffaele
• Is Part Of: Journal of musculoskeletal pain. Volume 21:Issue 1(2013)
• Page Start: 67
• Page End: 70
• Publication Date: 2013-03
• Subjects: Nonarticular rheumatism -- Periodicals; Myalgia -- Periodicals; Pain -- Periodicals; Musculoskeletal system -- Diseases -- Periodicals; 616.7
• DOI: 10.3109/10582452.2012.762967
• Languages: English
• ISSNs: 1058-2452

Abstract

<abstract abstract-type="executive-summary"> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Background</title> <p>Idiopathic cervical dystonia [ICD] is characterized by an abnormal head and neck posture attributable to involuntary tonic or phasic contractions of neck muscles.</p> </sec> <sec> <title>Findings</title> <p>We performed a brain fluorine-18 fluorodeoxyglucose positron emission tomography/computerized tomography [F18-FDG PET/CT] scan for suspected metabolic alterations in basal ganglia in a 51-year-old woman without any evidence of secondary dystonia. Brain uptake was unremarkable, whereas an increased F18-FDG uptake was observed in the right trapezius and right longus colli muscle, allowing a diagnosis of ICD.</p> </sec> <sec> <title>Conclusion</title> <p>An F18 PET/CT may be a non-invasive alternative to electromyography to identify dystonic cervical muscles and this identification could lead to successful clinical results after targeted intramuscular botulinum toxin treatment.</p> </sec> </abstract>