1 Guidance

1 Guidance

1.1 Current evidence on the safety and efficacy of selective peripheral denervation for cervical dystonia appears adequate to support the use of this procedure provided that the normal arrangements are in place for consent, audit and clinical governance.

1.2 The procedure should be performed by a multidisciplinary team in a specialist neurosurgical unit.

1.3 Patient selection for this procedure is important. Patients should be offered the procedure only when their disease has become refractory to best medical treatment.