Botox for spastic tilt neck works, but Botox will not cure spastic tilt neck completely. Botox is one of the ways to treat spasticity tilt neck clinically, and it is also a more commonly used method. Botulinum toxin blocks the release of acetylcholine by acting on the neuromuscular junction, reversibly blocking nerve conduction, preventing muscle contraction, lowering muscle tone, and improving the symptoms of spasmodic strabismus to achieve good results. Although botulinum toxin is useful for spasmodic cervical tilt treatment, and the treatment is fast, but the botulinum toxin maintenance time is not long, most of the time can only last for 3~6 months. When Botox fails, spasticity will reappear again, and patients who want to maintain the effect will need to have Botox repeatedly. It is recommended that patients with spasticity tilt neck should go to a regular hospital for a doctor’s evaluation before deciding whether or not to have Botox treatment.