Movement Disorders (revue)

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

Identifieur interne : 003142 ( Main/Exploration ); précédent : 003141; suivant : 003143

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

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

Source :

RBID : ISTEX:C46CF719657E1DE1F603C5D2DA5AAF84832EE8F1

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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

Url:
DOI: 10.1002/mds.21040


Affiliations:


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Le document en format XML

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<term>Nervous system diseases</term>
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<div type="abstract" xml: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</div>
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