Spasmodic cervical strain often occurs in young and middle-aged people, and many of them have no signs before the onset of the disease, so the patients often mistake it for “falling pillow” and do not care about it. Not only will the patient ignore it, but also the doctor will misdiagnose it, which will lead to the condition being aggravated to a certain extent by the time it is diagnosed. So can spasticity be prevented? What are the effective preventions of spastic tilt neck? The exact pathological mechanism of spasmodic tilt neck is not yet clear, may be related to the following aspects: spasmodic tilt neck and Parkinson’s disease belongs to the extrapyramidal system, mainly manifested as motor dysfunction, the clear cause of the disease is not clear, patients with tilt neck will appear in the neck muscle forward tilt, backward tilt or tilted to the side, etc., generally and heredity, trauma, vestibular function abnormality related. Spasmodic tilt neck prevention one: eugenics, in the prevention of spasmodic tilt neck should try to eugenics, because part of the adult dystonia and heredity has this great correlation shows that in the cervical muscle restriction dystonia in the development of the existence of genetic abnormality. Spasmodic tilt neck pre-prevention two: try to avoid head trauma, trauma has been recognized as the cause of spasmodic tilt neck, according to the medical data reported that 9%-16% of the patients have a history of head or neck trauma, usually occurring weeks to months before the onset of the disease. Spasmodic Tilt Pre-Prevention 3: Go to the hospital on time for routine medical checkups, etc., because vestibular abnormalities can also lead to spasmodic tilt, which cannot be corrected after treatment with botulinum toxin. Vestibular abnormalities are not primary abnormalities, and other types of limited dystonia (e.g., writing spasms, blepharospasms) can accompany spastic tilt. Deafness, vertigo, and ataxia are not characteristic of spastic tilt. Also, many patients without abnormal vestibular reflexes have a prolonged spasmodic tilt, which may be secondary to vestibular abnormalities. Spasmodic strabismus causes long-term head posture abnormalities. What are the treatments for spastic tilt neck? 1. Medication and local injection of botulinum toxin Medication may be effective in the early stage, but the effect is limited and short-lived, such as diazepam, baclofen and, amphetamine and haloperidol, etc., which may be able to reduce the degree of seizure in the early stage, but the effect is not obvious in the middle and late stage. Local injection of botulinum toxin is a simple, safe and effective method, which can alleviate the symptoms and improve the quality of life in the short term, and the injection can be maintained for 3~6 months, but repeated injections will easily produce antibodies and diminish the therapeutic effect. 2. Surgical treatment (1) Traditional surgical treatment 1. Microvascular decompression: that is, bilateral parasympathetic nerves and nerve roots above C2 show microvascular decompression. It is questioned due to the fact that spastic strabismus usually involves more muscles and its principle is completely different from the current understanding of the etiology of dystonia. (2) Stereotactic cerebral motor nucleus disfigurement: the targets are the pallidum, ventral-lateral nucleus of the thalamus, Froel-H, and the central nucleus of the thalamus, etc. The application of this technique is decreasing day by day due to the low efficiency and the possibility of serious complications. (2) Deep Brain Stimulation (DBS): the target point is thalamic floor nucleus (STN) or medial nucleus of the pallidum (Gpi), compared with stereotactic disfigurement, DBS has the features of adjustability, fewer complications, and higher safety, and it has gradually become the mainstream method of treating spasmodic strabismus.