Spastic levator is the most common type of focal dystonia. It predominates in adults, with an average age of onset around 40 years. The clinical manifestation is the abnormal impulse of the central nerve to the cervical muscles, resulting in involuntary spastic tilt and twist of the head and neck. The treatment is mainly pharmacological and surgical. 1. Pharmacological treatment and local injection of botulinum toxin: Because the cause of the disease is not clear, pharmacological treatment can only play a role in reducing the degree of seizures in the early stage, and the effect is not obvious in the middle and late stages. Anticholinergic drugs, dopamine agonists, γ-aminobutyric acid agonists, benzodiazepines, etc. can be used for the treatment of spastic squint. Commonly used drugs include tincture of belladonna, scopolamine, benzhexol and baclofen. (The specific medication should follow the doctor’s advice, do not self-medication) and botulinum toxin local injection can effectively relieve the symptoms of most patients in the short term, significantly improve the quality of life of patients. 2, surgery: for its conservative drug treatment is ineffective to continue the development of the disease, or seriously affect the life and workers, can be surgical treatment. The main surgical methods are spinal cord stimulation, selective neurotomy, microvascular decompression, stereotactic brain motor nucleus destruction or stimulation. Although there are various surgical methods, there is a lack of one specific surgical procedure that can cure all types of spastic slant neck. Therefore, the treatment of this disease often requires a combination of multiple surgical procedures.