If one day you suddenly find that your neck is crooked to one side, and it is difficult to correct it, or it will be crooked again, and even some shaking and neck pain. Then you may be suffering from “spastic squint”. Spastic squint is a neurological disorder of unknown etiology, mainly manifesting as dystonia of the head and neck, with symptoms like the ones I just described. In some patients, the onset of the disorder is preceded by a number of triggers, such as a mental shock. The treatment of choice is Botox because it is safer and less expensive. The disadvantage is that it is time-sensitive, with each injection lasting about three months to six months, and repeated injections are needed. And there will be a certain degree of drug resistance, that is, the effect of later injections is not as good as the first. In addition, oral medications can also relieve symptoms, such as baclofen and clonazepam, but because of the side effects are relatively large, often the patient can not tolerate a long time to take medication. After the above treatment, if the patient still can not have a satisfactory effect, surgery can be considered. Surgery is divided into two categories, one is muscle and nerve amputation. I personally believe that this type of surgery is more damaging and has more complications, and is not widely recommended. Instead, the surgery I would like to recommend to you is the brain pacemaker for spastic slant neck. The effectiveness and safety of the brain pacemaker procedure are very high. The surgery usually requires about two weeks of hospitalization and is the same as the surgery we often refer to for Parkinson’s disease. Two electrodes are to be buried in the brain and connected to a battery in the chest through a connecting wire. There is little to no impact on daily life. The effect is usually felt a few days after the surgery is turned on, and this effect gets better and better, and the effect is more stable after six months. The safety of the surgery is also high, and the incidence of complications generally does not exceed 1%.