Distoni Tedavisi

Yazarlar

Buse Çağla Arı

Özet

Distoni, heterojen etiyolojisi ve klinik bulguları nedeniyle bireyselleştirilmiş tedavi gerektiren bir hareket bozukluğudur. Hastalık modifiye edici tedaviler bazı genetik distoni alt tiplerinde mevcut olup, dopa yanıtlı distoni ve Wilson hastalığı bu gruba örnek teşkil etmektedir. Bu bölümde, semptomatik farmakolojik tedaviler ayrıntılı şekilde tartışılmakta; antikolinerjikler, dopaminerjik ajanlar, VMAT-2 inhibitörleri, baklofen ve benzodiazepinlerin kullanım alanları ve sınırlılıkları vurgulanmaktadır. Botulinum toksin enjeksiyonları, fokal ve segmental distonilerde birinci basamak tedavi olarak ele alınmış; servikal distoni, blefarospazm, oromandibular, laringeal, fokal el ve alt ekstremite distonilerindeki uygulama prensipleri gözden geçirilmiştir. Tedaviye dirençli olgularda cerrahi seçenekler kapsamında pallidal derin beyin stimülasyonunun etkinliği ve hasta seçiminin önemi vurgulanmaktadır. Rehabilitasyon yaklaşımlarının kanıt düzeyi sınırlı olmakla birlikte, multidisipliner tedavinin tamamlayıcı bir bileşeni olduğu belirtilmektedir.

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21 Ocak 2026

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