Treatment of cremaster synkinesias with botulinum toxin A: a video case report.
Identifieur interne : 002A49 ( PubMed/Checkpoint ); précédent : 002A48; suivant : 002A50Treatment of cremaster synkinesias with botulinum toxin A: a video case report.
Auteurs : Martin A. Ritter [Allemagne] ; Achim Frese ; Rainer Dziewas ; Stefan Knecht ; Stefan EversSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.
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).
- 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.
DOI: 10.1002/mds.21040
PubMed: 16856129
Affiliations:
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pubmed:16856129Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, University of Münster, Münster, Germany. ritterm@uni-muenster.de</nlm:affiliation>
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<wicri:regionArea>Department of Neurology, University of Münster, Münster</wicri:regionArea>
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<author><name sortKey="Knecht, Stefan" sort="Knecht, Stefan" uniqKey="Knecht S" first="Stefan" last="Knecht">Stefan Knecht</name>
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<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>
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<keywords scheme="MESH" xml:lang="en"><term>Electromyography</term>
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<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>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>Treatment of cremaster synkinesias with botulinum toxin A: a video case report.</ArticleTitle>
<Pagination><MedlinePgn>1787-8</MedlinePgn>
</Pagination>
<Abstract><AbstractText>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.</AbstractText>
</Abstract>
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