Movement Disorders (revue)

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Treatment of cremaster synkinesias with botulinum toxin A: A video case report

Identifieur interne : 003834 ( Istex/Corpus ); précédent : 003833; suivant : 003835

Treatment of cremaster synkinesias with botulinum toxin A: A video case report

Auteurs : Martin A. Ritter ; Achim Frese ; Rainer Dziewas ; Stefan Knecht ; Stefan Evers

Source :

RBID : ISTEX:C46CF719657E1DE1F603C5D2DA5AAF84832EE8F1

English descriptors

Abstract

Synkinesias secondary to nerve lesions and aberrant re‐innervation are well‐known phenomena especially after lesions of the facial nerve. Synkinesias can successfully be treated with botulinum toxin A (BTx A). Synkinesias of the cremaster muscle have not been described or treated to date. We present the case of a 62‐year‐old man who developed synkinesias of both cremaster muscles after extensive laparatomy for esophageal cancer. Treatment of synkinesias with various oral medications had been unsuccessful. Electromyography‐guided injections of BTx A in both cremaster muscles (15 MU on the right and 10 on the left) led to significant symptom relief for an average of 8 weeks. We present the case including pre‐ and posttreatment video clips. © 2006 Movement Disorder Society

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DOI: 10.1002/mds.21040

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ISTEX:C46CF719657E1DE1F603C5D2DA5AAF84832EE8F1

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<caption> Segment 1. Clip 1 shows the synkinesias of the cremaster muscles in synchrony with breathing. The cremaster muscles contract during forced expiration. Synchronicity with breathing is documented by making the patient change his breathing rhythm during the film. Segment 2. Clip 2 shows improvement 3 weeks after injection of the toxin. During the clip, the patient is repetitively asked to perform forced in‐ and expiration maneuvers. The first part of the clip was filmed with the patient lying on an exam couch. The last minute was filmed with the patient standing. </caption>
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<namePart type="given">Martin A.</namePart>
<namePart type="family">Ritter</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, University of Münster, Münster, Germany</affiliation>
<description>Correspondence: Klinik und Poliklinik für Neurologie, Universitätsklinikum Münster, Albert‐Schweitzer Str. 33, 48129 Münster, Germany</description>
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<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">Achim</namePart>
<namePart type="family">Frese</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, University of Münster, Münster, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Rainer</namePart>
<namePart type="family">Dziewas</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, University of Münster, Münster, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Stefan</namePart>
<namePart type="family">Knecht</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, University of Münster, Münster, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Stefan</namePart>
<namePart type="family">Evers</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, University of Münster, Münster, Germany</affiliation>
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<dateIssued encoding="w3cdtf">2006-10</dateIssued>
<dateCaptured encoding="w3cdtf">2005-08-03</dateCaptured>
<dateValid encoding="w3cdtf">2006-03-28</dateValid>
<copyrightDate encoding="w3cdtf">2006</copyrightDate>
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<abstract lang="en">Synkinesias secondary to nerve lesions and aberrant re‐innervation are well‐known phenomena especially after lesions of the facial nerve. Synkinesias can successfully be treated with botulinum toxin A (BTx A). Synkinesias of the cremaster muscle have not been described or treated to date. We present the case of a 62‐year‐old man who developed synkinesias of both cremaster muscles after extensive laparatomy for esophageal cancer. Treatment of synkinesias with various oral medications had been unsuccessful. Electromyography‐guided injections of BTx A in both cremaster muscles (15 MU on the right and 10 on the left) led to significant symptom relief for an average of 8 weeks. We present the case including pre‐ and posttreatment video clips. © 2006 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>synkinesias</topic>
<topic>botulinum toxin A</topic>
<topic>cremaster muscle</topic>
</subject>
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<title>Movement Disorders</title>
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<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
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<note type="content"> This article includes Supplementary Video, available online at http://www.interscience.wiley.com/jpages/0885‐3185/suppmatSupporting Info Item: Segment 1. Clip 1 shows the synkinesias of the cremaster muscles in synchrony with breathing. The cremaster muscles contract during forced expiration. Synchronicity with breathing is documented by making the patient change his breathing rhythm during the film. Segment 2. Clip 2 shows improvement 3 weeks after injection of the toxin. During the clip, the patient is repetitively asked to perform forced in‐ and expiration maneuvers. The first part of the clip was filmed with the patient lying on an exam couch. The last minute was filmed with the patient standing. - </note>
<subject>
<genre>article category</genre>
<topic>Brief Report</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2006</date>
<detail type="volume">
<caption>vol.</caption>
<number>21</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>10</number>
</detail>
<extent unit="pages">
<start>1787</start>
<end>1788</end>
<total>2</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">C46CF719657E1DE1F603C5D2DA5AAF84832EE8F1</identifier>
<identifier type="DOI">10.1002/mds.21040</identifier>
<identifier type="ArticleID">MDS21040</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2006 Movement Disorder Society</accessCondition>
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<recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
<recordContentSource>WILEY</recordContentSource>
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