Treatment of cremaster synkinesias with botulinum toxin A: A video case report
Identifieur interne : 003142 ( Main/Exploration ); précédent : 003141; suivant : 003143Treatment 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 :
- Movement Disorders [ 0885-3185 ] ; 2006-10.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Bontoxilysin, Botulinum Toxins, Type A (administration & dosage), Case study, Cremaster muscle, Electromyography, Esophageal Neoplasms (surgery), Humans, Injections, Intramuscular, Male, Middle Aged, Muscle, Smooth (innervation), Nerve Regeneration (physiology), Nervous system diseases, Postoperative Complications (drug therapy), Scrotum (innervation), Spermatic Cord (innervation), Synkinesia, Synkinesis (drug therapy), Treatment, botulinum toxin A, cremaster muscle, synkinesias.
- MESH :
- chemical , administration & dosage : Botulinum Toxins, Type A.
- drug therapy : Postoperative Complications, Synkinesis.
- innervation : Muscle, Smooth, Scrotum, Spermatic Cord.
- physiology : Nerve Regeneration.
- surgery : Esophageal Neoplasms.
- Electromyography, Humans, Injections, Intramuscular, Male, Middle Aged.
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>Cremaster muscle</term>
<term>Electromyography</term>
<term>Esophageal Neoplasms (surgery)</term>
<term>Humans</term>
<term>Injections, Intramuscular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle, Smooth (innervation)</term>
<term>Nerve Regeneration (physiology)</term>
<term>Nervous system diseases</term>
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<term>Scrotum (innervation)</term>
<term>Spermatic Cord (innervation)</term>
<term>Synkinesia</term>
<term>Synkinesis (drug therapy)</term>
<term>Treatment</term>
<term>botulinum toxin A</term>
<term>cremaster muscle</term>
<term>synkinesias</term>
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<term>Injections, Intramuscular</term>
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<term>Syncinésie</term>
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<front><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>
</front>
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