Cervical dystonia: Injecting botulinum neurotoxin into semispinalis capitis improves goose-neck posture

We describe a patient with goose-neck posture as the presenting form of cervical dystonia.In our case, the bilateral semispinalis capitis muscles were hypertrophic, thick, and overactive while both splenius capitis and sternocleidomastoid muscles were normal.In simply southern cat shirt this single case experience, we demonstrated that the semispinalis capitis muscle may play a primary role in causing a goose-neck posture and the observed forward sagittal shift may be a compensatory or overflow activity of neck flexor muscles.Therefore, botulinum toxin injection to the semispinalis capitis muscles can be considered 2014 dodge ram 1500 fender flares in the management of patients with goose-neck posture.