Treatment of Primary Cervical Dystonia and Primary Cranial Dystonia (Excluding Oromandibular)
This protocol covers the evidence-based first-line management of primary cervical dystonia and primary cranial dystonia (excluding the oromandibular subtype) — focal dystonias involving involuntary, sustained muscle contractions in the craniocervical region.
Clinical scenario: The patient has primary cranial dystonia (excluding oromandibular) or primary cervical dystonia. These are distinct subtypes of focal dystonia requiring targeted therapeutic selection rather than a general dystonia approach.
First-line approach: The recommended treatment involves botulinum toxin injection therapy. The full protocol specifies which formulation is used first, and under what circumstances an alternative type is indicated — the complete decision criteria, agent selection, and clinical algorithm are available in the structured protocol.
References
DOI: 10.1111/j.1468-1331.2010.03042.x
BoNT/A (or type B if there is resistance to type A) can be regarded as first-line treatment for primary cranial (excluding oromandibular) or cervical dystonia (level A).
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