Treatment of cremaster synkinesias with botulinum toxin A: A video case report
Identifieur interne : 004455 ( Main/Merge ); précédent : 004454; suivant : 004456Treatment 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.
English descriptors
- KwdEn :
- Botulinum Toxins, Type A (administration & dosage), Electromyography, Esophageal Neoplasms (surgery), Humans, Injections, Intramuscular, Male, Middle Aged, Muscle, Smooth (innervation), Nerve Regeneration (physiology), Postoperative Complications (drug therapy), Scrotum (innervation), Spermatic Cord (innervation), Synkinesis (drug therapy), 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
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-10">2006-10</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1787">1787</biblScope><biblScope unit="page" to="1788">1788</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">C46CF719657E1DE1F603C5D2DA5AAF84832EE8F1</idno><idno type="DOI">10.1002/mds.21040</idno><idno type="ArticleID">MDS21040</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Botulinum Toxins, Type A (administration & dosage)</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>Postoperative Complications (drug therapy)</term><term>Scrotum (innervation)</term><term>Spermatic Cord (innervation)</term><term>Synkinesis (drug therapy)</term><term>botulinum toxin A</term><term>cremaster muscle</term><term>synkinesias</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Botulinum Toxins, Type A</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Postoperative Complications</term><term>Synkinesis</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Muscle, Smooth</term><term>Scrotum</term><term>Spermatic Cord</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Nerve Regeneration</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Esophageal Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electromyography</term><term>Humans</term><term>Injections, Intramuscular</term><term>Male</term><term>Middle Aged</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><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. 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Ritter</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University of Münster, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author><author><name sortKey="Frese, Achim" sort="Frese, Achim" uniqKey="Frese A" first="Achim" last="Frese">Achim Frese</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University of Münster, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author><author><name sortKey="Dziewas, Rainer" sort="Dziewas, Rainer" uniqKey="Dziewas R" first="Rainer" last="Dziewas">Rainer Dziewas</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University of Münster, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author><author><name sortKey="Knecht, Stefan" sort="Knecht, Stefan" uniqKey="Knecht S" first="Stefan" last="Knecht">Stefan Knecht</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University of Münster, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author><author><name sortKey="Evers, Stefan" sort="Evers, Stefan" uniqKey="Evers S" first="Stefan" last="Evers">Stefan Evers</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University of Münster, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-10">2006-10</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1787">1787</biblScope><biblScope unit="page" to="1788">1788</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">C46CF719657E1DE1F603C5D2DA5AAF84832EE8F1</idno><idno type="DOI">10.1002/mds.21040</idno><idno type="ArticleID">MDS21040</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>botulinum toxin A</term><term>cremaster muscle</term><term>synkinesias</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><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></TEI></ISTEX><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Treatment of cremaster synkinesias with botulinum toxin A: a video case report.</title><author><name sortKey="Ritter, Martin A" sort="Ritter, Martin A" uniqKey="Ritter M" first="Martin A" last="Ritter">Martin A. Ritter</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, University of Münster, Münster, Germany. ritterm@uni-muenster.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University of Münster, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author><author><name sortKey="Frese, Achim" sort="Frese, Achim" uniqKey="Frese A" first="Achim" last="Frese">Achim Frese</name></author><author><name sortKey="Dziewas, Rainer" sort="Dziewas, Rainer" uniqKey="Dziewas R" first="Rainer" last="Dziewas">Rainer Dziewas</name></author><author><name sortKey="Knecht, Stefan" sort="Knecht, Stefan" uniqKey="Knecht S" first="Stefan" last="Knecht">Stefan Knecht</name></author><author><name sortKey="Evers, Stefan" sort="Evers, Stefan" uniqKey="Evers S" first="Stefan" last="Evers">Stefan Evers</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="doi">10.1002/mds.21040</idno><idno type="RBID">pubmed:16856129</idno><idno type="pmid">16856129</idno><idno type="wicri:Area/PubMed/Corpus">002B52</idno><idno type="wicri:Area/PubMed/Curation">002B52</idno><idno type="wicri:Area/PubMed/Checkpoint">002A49</idno><idno type="wicri:Area/Ncbi/Merge">001786</idno><idno type="wicri:Area/Ncbi/Curation">001786</idno><idno type="wicri:Area/Ncbi/Checkpoint">001786</idno><idno type="wicri:doubleKey">0885-3185:2006:Ritter M:treatment:of:cremaster</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Treatment of cremaster synkinesias with botulinum toxin A: a video case report.</title><author><name sortKey="Ritter, Martin A" sort="Ritter, Martin A" uniqKey="Ritter M" first="Martin A" last="Ritter">Martin A. Ritter</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, University of Münster, Münster, Germany. ritterm@uni-muenster.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University of Münster, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author><author><name sortKey="Frese, Achim" sort="Frese, Achim" uniqKey="Frese A" first="Achim" last="Frese">Achim Frese</name></author><author><name sortKey="Dziewas, Rainer" sort="Dziewas, Rainer" uniqKey="Dziewas R" first="Rainer" last="Dziewas">Rainer Dziewas</name></author><author><name sortKey="Knecht, Stefan" sort="Knecht, Stefan" uniqKey="Knecht S" first="Stefan" last="Knecht">Stefan Knecht</name></author><author><name sortKey="Evers, Stefan" sort="Evers, Stefan" uniqKey="Evers S" first="Stefan" last="Evers">Stefan Evers</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Botulinum Toxins, Type A (administration & dosage)</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>Postoperative Complications (drug therapy)</term><term>Scrotum (innervation)</term><term>Spermatic Cord (innervation)</term><term>Synkinesis (drug therapy)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Botulinum Toxins, Type A</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Postoperative Complications</term><term>Synkinesis</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Muscle, Smooth</term><term>Scrotum</term><term>Spermatic Cord</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Nerve Regeneration</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Esophageal Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electromyography</term><term>Humans</term><term>Injections, Intramuscular</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><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.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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