Movement Disorders (revue)

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Use of botulinum toxin type F injections to treat torticollis in patients with immunity to botulinum toxin type A

Identifieur interne : 005D04 ( Main/Exploration ); précédent : 005D03; suivant : 005D05

Use of botulinum toxin type F injections to treat torticollis in patients with immunity to botulinum toxin type A

Auteurs : Greene [États-Unis] ; Stanley Fahn [États-Unis]

Source :

RBID : ISTEX:C97A592A850155E85A7C99EEC4E790E93DE6B014

English descriptors

Abstract

Fifteen patients with torticollis who had been treated with repeated injections of botulinum toxin type A (botox A) developed antibodies to the toxin. This resulted in loss of benefit in the 13 patients who had improved with botox A injections and failure to develop muscle atrophy after injection in all 15 patients. Patients were then injected with botulinum toxin type F (botox F) in the same muscles that had been injected with botox A. Ten of the 15 improved after botox F injections, including 9 of the 12 patients who had improved with type A toxin. Six of 9 patients with pain had improvement in pain after botox F injections. Patients reported similar improvement with type F and type A toxins, but duration of benefit was ˜3 months with type A and ˜1 month with type F. Botox F is an effective treatment for torticollis in patients who are immune to botox A. The usefulness of type F toxin, however, is limited by short duration of benefit.

Url:
DOI: 10.1002/mds.870080411


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Fifteen patients with torticollis who had been treated with repeated injections of botulinum toxin type A (botox A) developed antibodies to the toxin. This resulted in loss of benefit in the 13 patients who had improved with botox A injections and failure to develop muscle atrophy after injection in all 15 patients. Patients were then injected with botulinum toxin type F (botox F) in the same muscles that had been injected with botox A. Ten of the 15 improved after botox F injections, including 9 of the 12 patients who had improved with type A toxin. Six of 9 patients with pain had improvement in pain after botox F injections. Patients reported similar improvement with type F and type A toxins, but duration of benefit was ˜3 months with type A and ˜1 month with type F. Botox F is an effective treatment for torticollis in patients who are immune to botox A. The usefulness of type F toxin, however, is limited by short duration of benefit.</div>
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