Publicação
Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care
| Resumo: | Dystonia is a comprised of complex abnormal movements, with most cases being idiopathic. Pharmacological therapy has unfavorable results, and therefore, local botulinum toxin injections are the treatment of choice. In this paper, we report a case of cervical dystonia with a favorable response to levodopa. It is a case of idiopathic cervical dystonia, without a favorable response to local injections of botulinum toxin and a lot of drugs, which was sent to a deep brain stimulation center and, simultaneously, to a Chronic Pain Medical Consultation at the family health unit. At this consultation, treatment with levodopa was tried with a favorable response, avoiding the invasive procedure. The positive results achieved using levodopa agree with other authors who assume that levodopa could be attempted in atypical dystonia. This case highlights the importance of primary healthcare, which can prevent the need for an invasive procedure. |
|---|---|
| Autores principais: | Alves, Patrícia |
| Assunto: | Distonia/tratamento farmacológico Levodopa/uso terapêutico Torcicolo/tratamento farmacológico Dystonia/drug therapy Levodopa/therapeutic use Torticollis/drug therapy |
| Ano: | 2025 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | CUF |
| Idioma: | inglês |
| Origem: | Gazeta Médica |
| _version_ | 1871899674388987904 |
|---|---|
| author | Alves, Patrícia |
| author_facet | Alves, Patrícia |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Alves, Patrícia\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Alves, Patrícia |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Distonia/tratamento farmacológico Levodopa/uso terapêutico Torcicolo/tratamento farmacológico Dystonia/drug therapy Levodopa/therapeutic use Torticollis/drug therapy |
| datacite.titles.title.fl_str_mv | Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care Distonia Cervical: A Doença Infrequente como Paradigma dos Cuidados Diferenciados em Cuidados de Saúde Primários |
| dc.creator.none.fl_str_mv | Alves, Patrícia |
| dc.description.none.fl_str_mv | A distonia compreende um conjunto de movimentos complexos anormais, sendo a maioria de causa idiopática. A terapêutica farmacológica não mostra resultados favoráveis, pelo que as injeções de toxina botulínica são o tratamento de escolha. Neste artigo, relatamos um caso de distonia cervical com resposta favorável a levodopa. Trata-se de um caso de distonia cervical idiopática, sem resposta favorável a injeções de toxina botulínica e a vários fármacos, que foi encaminhado para um centro de estimulação cerebral profunda e, simultaneamente, para a consulta de dor crónica da unidade de saúde familiar. Nesta consulta foi tentado tratamento com levodopa com resposta favorável, evitando o procedimento invasivo. Os resultados positivos alcançados, vão de encontro a outros autores que assumem que a levodopa pode ser tentada em casos atípicos de distonia. Este caso mostra a importância dos cuidados de saúde primários cuja intervenção evitou um procedimento invasivo. |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://doi.org/10.29315/gm.876 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | CUF Academic Center |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.rights.rights.copyright.fl_str_mv | https://creativecommons.org/licenses/by-nc/4.0/ |
| dc.source.none.fl_str_mv | Gazeta Médica; NUMBER 3 · VOLUME 12 · JULY/SEPTEMBER 2025; 206-208 Gazeta Médica; NÚMERO 3 · VOLUME 12 · JULHO/SETEMBRO 2025; 206-208 2184-0628 2183-8135 10.29315/gm.v12i3 |
| dc.subject.none.fl_str_mv | Distonia/tratamento farmacológico Levodopa/uso terapêutico Torcicolo/tratamento farmacológico Dystonia/drug therapy Levodopa/therapeutic use Torticollis/drug therapy |
| dc.title.fl_str_mv | Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care Distonia Cervical: A Doença Infrequente como Paradigma dos Cuidados Diferenciados em Cuidados de Saúde Primários |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Dystonia is a comprised of complex abnormal movements, with most cases being idiopathic. Pharmacological therapy has unfavorable results, and therefore, local botulinum toxin injections are the treatment of choice. In this paper, we report a case of cervical dystonia with a favorable response to levodopa. It is a case of idiopathic cervical dystonia, without a favorable response to local injections of botulinum toxin and a lot of drugs, which was sent to a deep brain stimulation center and, simultaneously, to a Chronic Pain Medical Consultation at the family health unit. At this consultation, treatment with levodopa was tried with a favorable response, avoiding the invasive procedure. The positive results achieved using levodopa agree with other authors who assume that levodopa could be attempted in atypical dystonia. This case highlights the importance of primary healthcare, which can prevent the need for an invasive procedure. |
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| identifier.doi.fl_str_mv | https://doi.org/10.29315/gm.876 |
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| person_str_mv | Alves, Patrícia |
| publishDate | 2025 |
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| spelling | en-USCervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Carept-PTDistonia Cervical: A Doença Infrequente como Paradigma dos Cuidados Diferenciados em Cuidados de Saúde PrimáriosAlves, PatríciaDistonia/tratamento farmacológicoLevodopa/uso terapêuticoTorcicolo/tratamento farmacológicoDystonia/drug therapyLevodopa/therapeutic useTorticollis/drug therapyCopyright (c) 2015 Gazeta Médicahttp://purl.org/coar/access_right/c_abf2https://doi.org/10.29315/gm.876DOIhttps://gazetamedica.pt/index.php/gazeta/article/view/876URLHasVersionhttps://gazetamedica.pt/index.php/gazeta/article/view/876/555URLHasVersionhttps://doi.org/10.29315/gm.876DOI2025-09-30en-USDystonia is a comprised of complex abnormal movements, with most cases being idiopathic. Pharmacological therapy has unfavorable results, and therefore, local botulinum toxin injections are the treatment of choice. In this paper, we report a case of cervical dystonia with a favorable response to levodopa. It is a case of idiopathic cervical dystonia, without a favorable response to local injections of botulinum toxin and a lot of drugs, which was sent to a deep brain stimulation center and, simultaneously, to a Chronic Pain Medical Consultation at the family health unit. At this consultation, treatment with levodopa was tried with a favorable response, avoiding the invasive procedure. The positive results achieved using levodopa agree with other authors who assume that levodopa could be attempted in atypical dystonia. This case highlights the importance of primary healthcare, which can prevent the need for an invasive procedure.pt-PTA distonia compreende um conjunto de movimentos complexos anormais, sendo a maioria de causa idiopática. A terapêutica farmacológica não mostra resultados favoráveis, pelo que as injeções de toxina botulínica são o tratamento de escolha. Neste artigo, relatamos um caso de distonia cervical com resposta favorável a levodopa. Trata-se de um caso de distonia cervical idiopática, sem resposta favorável a injeções de toxina botulínica e a vários fármacos, que foi encaminhado para um centro de estimulação cerebral profunda e, simultaneamente, para a consulta de dor crónica da unidade de saúde familiar. Nesta consulta foi tentado tratamento com levodopa com resposta favorável, evitando o procedimento invasivo. Os resultados positivos alcançados, vão de encontro a outros autores que assumem que a levodopa pode ser tentada em casos atípicos de distonia. Este caso mostra a importância dos cuidados de saúde primários cuja intervenção evitou um procedimento invasivo.CUF Academic Centerapplication/pdfen-USGazeta Médica; NUMBER 3 · VOLUME 12 · JULY/SEPTEMBER 2025; 206-208pt-PTGazeta Médica; NÚMERO 3 · VOLUME 12 · JULHO/SETEMBRO 2025; 206-2082184-06282183-813510.29315/gm.v12i3engjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85https://creativecommons.org/licenses/by-nc/4.0/ |
| spellingShingle | Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care Alves, Patrícia Distonia/tratamento farmacológico Levodopa/uso terapêutico Torcicolo/tratamento farmacológico Dystonia/drug therapy Levodopa/therapeutic use Torticollis/drug therapy |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | Distonia/tratamento farmacológico Levodopa/uso terapêutico Torcicolo/tratamento farmacológico Dystonia/drug therapy Levodopa/therapeutic use Torticollis/drug therapy |
| title | Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care |
| title_full | Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care |
| title_fullStr | Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care |
| title_full_unstemmed | Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care |
| title_short | Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care |
| title_sort | Cervical Dystonia: The Infrequent Disease as a Paradigm of Differentiated Care in Primary Health Care |
| topic | Distonia/tratamento farmacológico Levodopa/uso terapêutico Torcicolo/tratamento farmacológico Dystonia/drug therapy Levodopa/therapeutic use Torticollis/drug therapy |
| topic_facet | Distonia/tratamento farmacológico Levodopa/uso terapêutico Torcicolo/tratamento farmacológico Dystonia/drug therapy Levodopa/therapeutic use Torticollis/drug therapy |
| url | https://doi.org/10.29315/gm.876 |
| visible | 1 |
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