Movement Disorders (revue)

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Writer's cramp: Treatment with botulinum toxin injections

Identifieur interne : 006112 ( Main/Exploration ); précédent : 006111; suivant : 006113

Writer's cramp: Treatment with botulinum toxin injections

Auteurs : J. Rivest [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni] ; Marsden [Royaume-Uni]

Source :

RBID : ISTEX:4D7C22FF10A5806B23D5F63351E67494449C91C9

Descripteurs français

English descriptors

Abstract

Twelve patients with writer's cramp were treated with injections of botulinum toxin. The overactive muscles were identified by clinical observation of the subjects while they were writing. Repeated injections were given at 2‐week intervals until the optimal response was obtained. Eleven patients reported some benefit, which was considered by seven to be significant. Eight of the 10 patients who had pain reported moderate to significant relief. Five patients had local complications, consisting of disabling weakness of target or neighbouring muscles. These preliminary results suggest that this treatment can be successfully applied to many patients with writer's cramp without performing complex electromyographic recordings while the patients are writing.

Url:
DOI: 10.1002/mds.870060110


Affiliations:


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Le document en format XML

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<term>Chemotherapy</term>
<term>Clostridium botulinum</term>
<term>Dystonia</term>
<term>Dystonia (drug therapy)</term>
<term>Extrapyramidal syndrome</term>
<term>Female</term>
<term>Handwriting</term>
<term>Human</term>
<term>Humans</term>
<term>Injections, Intramuscular</term>
<term>Intramuscular administration</term>
<term>Involuntary movement</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Cramp (drug therapy)</term>
<term>Nervous system diseases</term>
<term>Neurologic Examination</term>
<term>Toxin</term>
<term>Treatment</term>
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<term>Mouvement involontaire</term>
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<div type="abstract" xml:lang="en">Twelve patients with writer's cramp were treated with injections of botulinum toxin. The overactive muscles were identified by clinical observation of the subjects while they were writing. Repeated injections were given at 2‐week intervals until the optimal response was obtained. Eleven patients reported some benefit, which was considered by seven to be significant. Eight of the 10 patients who had pain reported moderate to significant relief. Five patients had local complications, consisting of disabling weakness of target or neighbouring muscles. These preliminary results suggest that this treatment can be successfully applied to many patients with writer's cramp without performing complex electromyographic recordings while the patients are writing.</div>
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