Movement Disorders (revue)

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Treatment of proximal upper limb tremor with botulinum toxin therapy.

Identifieur interne : 000373 ( PubMed/Checkpoint ); précédent : 000372; suivant : 000374

Treatment of proximal upper limb tremor with botulinum toxin therapy.

Auteurs : Samuel D. Kim [Australie] ; Con Yiannikas ; Neil Mahant ; Steve Vucic ; Victor S C. Fung

Source :

RBID : pubmed:24519658

English descriptors

Abstract

Proximal-dominant upper limb tremor is highly disabling, and there is no effective medical therapy. In this study, we evaluated the efficacy of botulinum toxin (BTX) injections for the treatment of proximal tremor.

DOI: 10.1002/mds.25739
PubMed: 24519658


Affiliations:


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pubmed:24519658

Le document en format XML

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<title xml:lang="en">Treatment of proximal upper limb tremor with botulinum toxin therapy.</title>
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<name sortKey="Kim, Samuel D" sort="Kim, Samuel D" uniqKey="Kim S" first="Samuel D" last="Kim">Samuel D. Kim</name>
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<nlm:affiliation>Movement Disorders Unit, Department of Neurology, Westmead Hospital, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Movement Disorders Unit, Department of Neurology, Westmead Hospital, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
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<name sortKey="Yiannikas, Con" sort="Yiannikas, Con" uniqKey="Yiannikas C" first="Con" last="Yiannikas">Con Yiannikas</name>
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<name sortKey="Mahant, Neil" sort="Mahant, Neil" uniqKey="Mahant N" first="Neil" last="Mahant">Neil Mahant</name>
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<name sortKey="Vucic, Steve" sort="Vucic, Steve" uniqKey="Vucic S" first="Steve" last="Vucic">Steve Vucic</name>
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<name sortKey="Fung, Victor S C" sort="Fung, Victor S C" uniqKey="Fung V" first="Victor S C" last="Fung">Victor S C. Fung</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Botulinum Toxins (therapeutic use)</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurotoxins (therapeutic use)</term>
<term>Outcome Assessment (Health Care)</term>
<term>Retrospective Studies</term>
<term>Tremor (drug therapy)</term>
<term>Upper Extremity (physiopathology)</term>
<term>Young Adult</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Botulinum Toxins</term>
<term>Neurotoxins</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Tremor</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Upper Extremity</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Outcome Assessment (Health Care)</term>
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<div type="abstract" xml:lang="en">Proximal-dominant upper limb tremor is highly disabling, and there is no effective medical therapy. In this study, we evaluated the efficacy of botulinum toxin (BTX) injections for the treatment of proximal tremor.</div>
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<Month>May</Month>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Proximal-dominant upper limb tremor is highly disabling, and there is no effective medical therapy. In this study, we evaluated the efficacy of botulinum toxin (BTX) injections for the treatment of proximal tremor.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a retrospective analysis of open-label treatment with BTX in 19 patients with proximal tremor. The response to therapy was graded into four categories according to self-reported improvements in tremor and function.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In total, 63% of patients reported moderate or marked benefit, defined as functional improvements sufficient enough to allow feeding or drinking from a cup; whereas 21% of patients reported mild benefit; and 15% of patients reported no benefit. One patient developed severe weakness of shoulder abduction and withdrew from the treatment; otherwise, the therapy was free of side effects.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The current findings support the efficacy of BTX therapy in the treatment of proximal upper limb tremor with minimal side effects.</AbstractText>
<CopyrightInformation>© 2013 International Parkinson and Movement Disorder Society.</CopyrightInformation>
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