Treatment of cremaster synkinesias with botulinum toxin A : A video case report
Identifieur interne : 001862 ( PascalFrancis/Checkpoint ); précédent : 001861; suivant : 001863Treatment 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.
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- Pascal (Inist)
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.
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Ritter</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">06-0538614</idno><date when="2006">2006</date><idno type="stanalyst">PASCAL 06-0538614 INIST</idno><idno type="RBID">Pascal:06-0538614</idno><idno type="wicri:Area/PascalFrancis/Corpus">001928</idno><idno type="wicri:Area/PascalFrancis/Curation">001393</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001862</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">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"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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"><inist:fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><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><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bontoxilysin</term><term>Case study</term><term>Cremaster muscle</term><term>Nervous system diseases</term><term>Synkinesia</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term><term>Syncinésie</term><term>Traitement</term><term>Bontoxilysin</term><term>Etude cas</term><term>Muscle cremaster</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><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>21</s2></fA05><fA06><s2>10</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Treatment of cremaster synkinesias with botulinum toxin A : A video case report</s1></fA08><fA11 i1="01" i2="1"><s1>RITTER (Martin A.)</s1></fA11><fA11 i1="02" i2="1"><s1>FRESE (Achim)</s1></fA11><fA11 i1="03" i2="1"><s1>DZIEWAS (Rainer)</s1></fA11><fA11 i1="04" i2="1"><s1>KNECHT (Stefan)</s1></fA11><fA11 i1="05" i2="1"><s1>EVERS (Stefan)</s1></fA11><fA14 i1="01"><s1>Department of Neurology, University of Münster</s1><s2>Münster</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></fA14><fA20><s1>1787-1788</s1></fA20><fA21><s1>2006</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000158877800440</s5></fA43><fA44><s0>0000</s0><s1>© 2006 INIST-CNRS. 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Ritter</name></region><name sortKey="Dziewas, Rainer" sort="Dziewas, Rainer" uniqKey="Dziewas R" first="Rainer" last="Dziewas">Rainer Dziewas</name><name sortKey="Evers, Stefan" sort="Evers, Stefan" uniqKey="Evers S" first="Stefan" last="Evers">Stefan Evers</name><name sortKey="Frese, Achim" sort="Frese, Achim" uniqKey="Frese A" first="Achim" last="Frese">Achim Frese</name><name sortKey="Knecht, Stefan" sort="Knecht, Stefan" uniqKey="Knecht S" first="Stefan" last="Knecht">Stefan Knecht</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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