Jho Institute for Minimally Invasive Neurosurgery Department of Neuroendoscopy

Spine Diseases
     Brain Diseases

Spasmodic Torticollis Surgery: Dr. Jho's Endoscopic Microvascular Decompression for Spasmodic Torticollis

Dr. Jho's Endoscopic Microvascular Decompression Surgery for Spasmodic Torticollis

Professor & Chair,  Department of Neuroendoscopy
Jho Institute for Minimally Invasive Neurosurgery    

     Having worked for approximately 20 years with Professor Jannetta (who pioneered the development of various Jannetta procedures for microvascular decompression), Dr. Jho has developed minimally invasive endoscopic microvascular decompression surgery for spasmodic torticollis and other cranial nerve disorders.  Microvascular decompression surgery was originally pioneered by Professor Jannetta, who has spent his entire neurosurgery career exploring various neurovascular compression syndromes.
     Neurovascular compression theory is the idea that various blood vessels can compress various cranial nerves inside the head causing distinct symptoms pertinent to the compressed cranial nerve.  These symptoms are classified as belonging to disorders such as trigeminal neuralgia if the compressed nerve is the trigeminal nerve, hemifacial spasm if the facial nerve is compressed, tinnitis and vertigo if the vestibulocochlear nerve is compressed, glossopharyngeal neuralgia if the glossopharyngeal nerve is involved, and spasmodic torticollis if the spinal accessory nerve is involved.
     Spasmodic torticollis is a condition of extreme neck muscle spasm in which the patient's head and neck become twisted in an unnatural manner.  Spasmodic torticollis has been treated with microvascular decompression of the spinal accessory nerves, the upper cervical nerve roots, and/or the brainstem.  Improvement of symptoms has been observed in most patients within a two year span following surgery.  Surgical outcome has been excellent in 50% of patients, who show drastic alleviation of their symptoms.  Of the remaining patients, 25% experienced significant improvement while the other 25% did not.

For referral information or appointment for consultation contact:
                            Practice Manager:  Robin A. Coret
              e-mail : rcoret@drjho.com
                                       Tel : (412) 359-6110
                                     Fax : (412) 359-8339

         Address : JHO Institute for Minimally Invasive Neurosurgery
                            Department of Neuroendoscopy
                               Sixth Floor, South Tower
                               Allegheny General Hospital
                               320 East North Avenue
                               Pittsburgh, PA 15212-4772
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                    Dr. Jho via e-mail  hdjho@drjho.com
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