It is mainly manifested as motor dysfunction, and the definite cause of the disease is not clear at present. Patients with spastic squint will have neck muscles leaning forward, backward or to one side, which is generally related to genetics, trauma and abnormal vestibular function. Prof. Wang introduced that there are various surgical methods to treat spastic squint, and the earlier treatment methods such as severing have been discarded by the neurosurgery department of regular tertiary hospitals with more side effects. The following is a simplified medical record of a patient with spastic oblique neck who underwent deep brain electrical stimulation, which can be used as a brief reference by patients. Name: Syl Sex: Male Age: 48 years old Main reason: “involuntary twisting of head to the left side for 14 years”. Case characteristics: 1. middle-aged male, 48 years old. 2. the patient developed involuntary twisting of the head to the left side in 2003, the symptoms were obvious when he was emotionally stressed, but reduced when he was quiet and sleeping, and he could correct his head posture on his own. in 2005, he was diagnosed as “spastic oblique neck” in a local hospital, and was given small acupuncture, acupuncture and rehabilitation physiotherapy. He was hospitalized and given botulinum toxin injections, and his symptoms improved significantly in 2006. 2009, the above symptoms reappeared, and in 2015, the degree and duration of head torsion increased significantly. In order to seek further treatment, he came to our outpatient clinic today and was admitted with “spastic squint”. He was admitted to our hospital with “spastic squint”. After the disease, he was mentally well, had a normal appetite and normal bowel and urine. Preliminary diagnosis: spastic strabismus Treatment history: After admission, the patient was treated with stereotactic bilateral deep brain electrode implantation under general anesthesia after active improvement of relevant examination and preoperative preparation. The patient recovered well and the wound healed well. The patient was discharged from the hospital in good general condition, with clear speech, good mental status, good diet and sleep, stable vital signs, normal body temperature, and good general activities. Discharge diagnosis: spastic oblique neck Discharge medical advice: pay attention to rest, strengthen nutrition, and come to our department after one month to turn on the machine to regulate. Surgery is recommended for those patients whose dystonia is persistent, ineffective to a large number of medications and botulinum toxin injections and with significant sexual dysfunction. Surgery is also currently the only direct way to effectively improve spastic levator neck and generally requires the best surgical plan for the patient’s condition. Details of surgical treatment for spastic squint neck Brain pacemaker implantation surgery (stereotactic bilateral deep brain electrode implantation surgery): The brain pacemaker applies the principle of three-dimensional geometric coordinates, establishes a brain coordinate system and a directional instrument installed on the skull, establishes a coordinate system, locates the target structures in the brain, and introduces surgical manipulators (such as microelectrodes, biopsy needles, destructive needles, etc.) into the target site for operation. The localization target of spastic squint is similar to that of torsional spasm, and the symptoms of involuntary neck torsion can be significantly controlled after the patient undergoes stereotactic surgery.