Movement Disorders (revue)

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Treatment of cremaster synkinesias with botulinum toxin A: a video case report.

Identifieur interne : 002A49 ( PubMed/Checkpoint ); précédent : 002A48; suivant : 002A50

Treatment of cremaster synkinesias with botulinum toxin A: a video case report.

Auteurs : Martin A. Ritter [Allemagne] ; Achim Frese ; Rainer Dziewas ; Stefan Knecht ; Stefan Evers

Source :

RBID : pubmed:16856129

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.

DOI: 10.1002/mds.21040
PubMed: 16856129


Affiliations:


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pubmed:16856129

Le document en format XML

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<term>Injections, Intramuscular</term>
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<term>Middle Aged</term>
<term>Muscle, Smooth (innervation)</term>
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<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>
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