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Neurorehabilitation and Neural Repair
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Focal Foot Dystonia: Two Cases Treated by Surgical Release

Irwin M. Siegel

Departments of Orthopaedics and Neurological Sciences, Rush-Presbyterian-St. Luke's Medical Center

Vinod Sahgal

Rehabilitation Institute of Chicago

Michael Barany

University of Illinois College of Medicine, Chicago, IL, U.S.A.

Two cases of focal pedal dystonia, unresponsive to pharmacological or other therapies, were treated by surgery and bracing. Where tenotomy was performed, a percutaneous technique was utilized. Muscle biopsy in one case revealed normal neuromuscular junction anatomy, but a Type I fiber hypertrophy associated with exercise was noted. Intracompartmental pressure was elevated. Magnetic resonance spectroscopy demonstrated changes in phosphocreatine and ATP. Surgery may prove effective in selected cases of focal foot dystonia.

Key Words: Foot • Dystonia • Treatment • Surgery • Orthosis.

Neurorehabilitation and Neural Repair, Vol. 3, No. 1, 19-25 (1989)
DOI: 10.1177/136140968900300104
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