Movement Disorders (revue)

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Ultrasound-Guided Injection of the Iliopsoas Muscle with Botulinum Toxin in Camptocormia

Identifieur interne : 001A60 ( PascalFrancis/Curation ); précédent : 001A59; suivant : 001A61

Ultrasound-Guided Injection of the Iliopsoas Muscle with Botulinum Toxin in Camptocormia

Auteurs : Rainer Von Coelln [Allemagne] ; Armin Raible [Allemagne] ; Thomas Gasser [Allemagne] ; Friedrich Asmus [Allemagne]

Source :

RBID : Pascal:08-0251874

Descripteurs français

English descriptors

Abstract

Camptocormia is characterized by an abnormal posture of the trunk with pronounced flexion of the thoraco-lumbar spine during standing and walking, which abates in a supine position. Treatment options for camptocormia are limited and mostly futile. Here, we report on the ultrasound-guided ventral injection of botulinum toxin A (BTX) into deep portions of the iliopsoas muscle in four parkinsonian patients with camptocormia as chief complaint. Using this novel and safe application technique, all patients received 500-1,500 MU of BTX per side in 4-6 month intervals. Treatment was generally well tolerated. At the highest dose, all patients complained of mild weakness of hip flexion. Standardized physical exam at follow-up visits, as well as self-assessment of patients, failed to show a relevant and lasting improvement of posture. In conclusion, injection of BTX into the iliopsoas does not appear to be a promising approach for the treatment of parkinsonism-associated camptocormia.
pA  
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A03   1    @0 Mov. disord.
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A08 01  1  ENG  @1 Ultrasound-Guided Injection of the Iliopsoas Muscle with Botulinum Toxin in Camptocormia
A11 01  1    @1 VON COELLN (Rainer)
A11 02  1    @1 RAIBLE (Armin)
A11 03  1    @1 GASSER (Thomas)
A11 04  1    @1 ASMUS (Friedrich)
A14 01      @1 Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tuebingen @2 Tuebingen @3 DEU @Z 1 aut. @Z 3 aut. @Z 4 aut.
A14 02      @1 Department of Internal Medicine I, University of Tuebingen @2 Tuebingen @3 DEU @Z 2 aut.
A20       @1 889-892
A21       @1 2008
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A43 01      @1 INIST @2 20953 @5 354000195888140190
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
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A47 01  1    @0 08-0251874
A60       @1 P @3 CC
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A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 Camptocormia is characterized by an abnormal posture of the trunk with pronounced flexion of the thoraco-lumbar spine during standing and walking, which abates in a supine position. Treatment options for camptocormia are limited and mostly futile. Here, we report on the ultrasound-guided ventral injection of botulinum toxin A (BTX) into deep portions of the iliopsoas muscle in four parkinsonian patients with camptocormia as chief complaint. Using this novel and safe application technique, all patients received 500-1,500 MU of BTX per side in 4-6 month intervals. Treatment was generally well tolerated. At the highest dose, all patients complained of mild weakness of hip flexion. Standardized physical exam at follow-up visits, as well as self-assessment of patients, failed to show a relevant and lasting improvement of posture. In conclusion, injection of BTX into the iliopsoas does not appear to be a promising approach for the treatment of parkinsonism-associated camptocormia.
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C03 01  X  ENG  @0 Kyphosis @5 01
C03 01  X  SPA  @0 Cifosis @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Ultrason @5 09
C03 03  X  ENG  @0 Ultrasound @5 09
C03 03  X  SPA  @0 Ultrasonido @5 09
C03 04  X  FRE  @0 Muscle psoas iliaque @5 10
C03 04  X  ENG  @0 Iliopsoas muscle @5 10
C03 04  X  SPA  @0 Músculo psoas ilíaco @5 10
C03 05  X  FRE  @0 Bontoxilysin @2 FE @2 FR @5 11
C03 05  X  ENG  @0 Bontoxilysin @2 FE @2 FR @5 11
C03 05  X  SPA  @0 Bontoxilysin @2 FE @2 FR @5 11
C03 06  X  FRE  @0 Guidage @5 12
C03 06  X  ENG  @0 Guidance @5 12
C03 06  X  SPA  @0 Guiado @5 12
C03 07  X  FRE  @0 Rachis dorsal @5 78
C03 07  X  ENG  @0 Dorsal spine @5 78
C03 07  X  SPA  @0 Raquis dorsal @5 78
C03 08  X  FRE  @0 Camptocormie @4 INC @5 86
C07 01  X  FRE  @0 Metalloendopeptidases @2 FE
C07 01  X  ENG  @0 Metalloendopeptidases @2 FE
C07 01  X  SPA  @0 Metalloendopeptidases @2 FE
C07 02  X  FRE  @0 Peptidases @2 FE
C07 02  X  ENG  @0 Peptidases @2 FE
C07 02  X  SPA  @0 Peptidases @2 FE
C07 03  X  FRE  @0 Hydrolases @2 FE
C07 03  X  ENG  @0 Hydrolases @2 FE
C07 03  X  SPA  @0 Hydrolases @2 FE
C07 04  X  FRE  @0 Enzyme @2 FE
C07 04  X  ENG  @0 Enzyme @2 FE
C07 04  X  SPA  @0 Enzima @2 FE
C07 05  X  FRE  @0 Déformation @5 37
C07 05  X  ENG  @0 Deformation @5 37
C07 05  X  SPA  @0 Deformación @5 37
C07 06  X  FRE  @0 Pathologie du rachis @5 38
C07 06  X  ENG  @0 Spine disease @5 38
C07 06  X  SPA  @0 Raquis patología @5 38
C07 07  X  FRE  @0 Pathologie du système ostéoarticulaire @5 39
C07 07  X  ENG  @0 Diseases of the osteoarticular system @5 39
C07 07  X  SPA  @0 Sistema osteoarticular patología @5 39
N21       @1 162
N44 01      @1 OTO
N82       @1 OTO

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Pascal:08-0251874

Le document en format XML

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<div type="abstract" xml:lang="en">Camptocormia is characterized by an abnormal posture of the trunk with pronounced flexion of the thoraco-lumbar spine during standing and walking, which abates in a supine position. Treatment options for camptocormia are limited and mostly futile. Here, we report on the ultrasound-guided ventral injection of botulinum toxin A (BTX) into deep portions of the iliopsoas muscle in four parkinsonian patients with camptocormia as chief complaint. Using this novel and safe application technique, all patients received 500-1,500 MU of BTX per side in 4-6 month intervals. Treatment was generally well tolerated. At the highest dose, all patients complained of mild weakness of hip flexion. Standardized physical exam at follow-up visits, as well as self-assessment of patients, failed to show a relevant and lasting improvement of posture. In conclusion, injection of BTX into the iliopsoas does not appear to be a promising approach for the treatment of parkinsonism-associated camptocormia.</div>
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<s0>Spine disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Raquis patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Pathologie du système ostéoarticulaire</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Diseases of the osteoarticular system</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Sistema osteoarticular patología</s0>
<s5>39</s5>
</fC07>
<fN21>
<s1>162</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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