Torsional spasms are characterized mainly by involuntary spasms and twisting of the trunk and limbs, but the shape of this movement is bizarre and variable. The onset of the disease is slow, often starting in one or both feet with spastic plantar flexion. When the disease develops to a certain extent, the involvement of trunk muscles and paraspinal muscles will cause the whole body to torsion or spiral movement, which is the characteristic manifestation of this disease. Patients with torsion spasms are severely affected in all aspects of their lives, and are unable to live, study, or work normally; they must be cared for, which increases the burden on their families. Torsion spasms can be controlled in two ways, medically and surgically. Pharmacological control of torsion spasticity is symptomatic and aims to improve function, reduce abnormal movements, and minimize pain caused by muscle spasm. Most cases are treated with intramuscular injections of botulinum toxin for 3-4 months, with some patients developing anti-botulinum toxin antibodies and gradually becoming ineffective at this treatment. Drugs do not cure torsion spasms, but only control the symptoms temporarily. Commonly used medications include levodopa, which can significantly improve symptoms in autosomal dominant dopa-responsive spasticity, and are usually effective in small doses. Initial treatment with anticholinergics, desipramine, neonyl alcohol or carbamazepine may be helpful in some patients. Some patients with torsion spasms have been treated with pacemaker brain implantation (DBS) for effective symptom control. Brain pacemaker implantation for torsion spasticity, DBS can effectively relieve dystonia and improve the symptoms of patients with torsion spasticity. Moreover, DBS has the advantages of reversibility and modifiability without permanent damage to tissues, especially for pediatric patients whose brain development is not yet complete. The stimulation targets include Vim nucleus, Gpi, STN, Vop, etc. The stimulation frequency is about 130-180 Hz, and it can be operated unilaterally or stimulated bilaterally by implanting electrodes at the same time.