Muscle paralysis produced by botulinum toxin type A injection in treated torticollis patients compared with toxin naive individuals.
Identifieur interne : 003E29 ( PubMed/Corpus ); précédent : 003E28; suivant : 003E30Muscle paralysis produced by botulinum toxin type A injection in treated torticollis patients compared with toxin naive individuals.
Auteurs : R R Sloop ; D. Cole ; M C PatelSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2001.
English descriptors
- KwdEn :
- Adult, Aged, Botulinum Toxins, Type A (administration & dosage), Botulinum Toxins, Type A (adverse effects), Dose-Response Relationship, Drug, Female, Foot, Humans, Male, Middle Aged, Muscle, Skeletal (physiopathology), Neuromuscular Agents (administration & dosage), Neuromuscular Agents (adverse effects), Paralysis (chemically induced), Paralysis (diagnosis), Paralysis (physiopathology), Severity of Illness Index, Torticollis (drug therapy).
- MESH :
- chemical , administration & dosage : Botulinum Toxins, Type A, Neuromuscular Agents.
- chemical , adverse effects : Botulinum Toxins, Type A, Neuromuscular Agents.
- chemically induced : Paralysis.
- diagnosis : Paralysis.
- drug therapy : Torticollis.
- physiopathology : Muscle, Skeletal, Paralysis.
- Adult, Aged, Dose-Response Relationship, Drug, Female, Foot, Humans, Male, Middle Aged, Severity of Illness Index.
Abstract
We sought to determine whether the response to varying doses of botulinum toxin type A (BTX-A) injected in BTX-A-treated torticollis patients differed from the same injections given in toxin-naive individuals. We have developed a technique to objectively measure muscle weakness resulting from BTX injections in humans and have validated the technique in those not previously treated with BTX. We now examine BTX-A-treated torticollis patients to see if their response to BTX-A injection is similar to that of toxin-naive individuals. We injected 11 torticollis patients who had been receiving BTX-A injections with a standard 5-mouse unit (mu) dose into one extensor digitorum brevis (EDB) muscle and a varying dose into the other EDB, measuring muscle paralysis 2 weeks after the injection. Nine of the 11 patients were clinical and electrophysiologic responders. Two patients were non-responders. In the 9 responding patients the dose response curve to increasing doses of BTX-A was very similar to that seen in toxin-naive individuals. The mean muscle paralysis from the standard 5 mu dose was also similar to that previously reported in toxin-naive individuals. Torticollis patients who continue to respond clinically to BTX-A injections demonstrate essentially the same degree of muscle paralysis from the EDB injections as do subjects who have never been exposed to BTX-A.
PubMed: 11215566
Links to Exploration step
pubmed:11215566Le document en format XML
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<author><name sortKey="Sloop, R R" sort="Sloop, R R" uniqKey="Sloop R" first="R R" last="Sloop">R R Sloop</name>
<affiliation><nlm:affiliation>Department of Neurology, Loma Linda University School of Medicine, California, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Cole, D" sort="Cole, D" uniqKey="Cole D" first="D" last="Cole">D. Cole</name>
</author>
<author><name sortKey="Patel, M C" sort="Patel, M C" uniqKey="Patel M" first="M C" last="Patel">M C Patel</name>
</author>
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<date when="2001">2001</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Muscle paralysis produced by botulinum toxin type A injection in treated torticollis patients compared with toxin naive individuals.</title>
<author><name sortKey="Sloop, R R" sort="Sloop, R R" uniqKey="Sloop R" first="R R" last="Sloop">R R Sloop</name>
<affiliation><nlm:affiliation>Department of Neurology, Loma Linda University School of Medicine, California, USA.</nlm:affiliation>
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<author><name sortKey="Cole, D" sort="Cole, D" uniqKey="Cole D" first="D" last="Cole">D. Cole</name>
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<author><name sortKey="Patel, M C" sort="Patel, M C" uniqKey="Patel M" first="M C" last="Patel">M C Patel</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Botulinum Toxins, Type A (administration & dosage)</term>
<term>Botulinum Toxins, Type A (adverse effects)</term>
<term>Dose-Response Relationship, Drug</term>
<term>Female</term>
<term>Foot</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Neuromuscular Agents (administration & dosage)</term>
<term>Neuromuscular Agents (adverse effects)</term>
<term>Paralysis (chemically induced)</term>
<term>Paralysis (diagnosis)</term>
<term>Paralysis (physiopathology)</term>
<term>Severity of Illness Index</term>
<term>Torticollis (drug therapy)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Botulinum Toxins, Type A</term>
<term>Neuromuscular Agents</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Botulinum Toxins, Type A</term>
<term>Neuromuscular Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Paralysis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Paralysis</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Torticollis</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Muscle, Skeletal</term>
<term>Paralysis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Dose-Response Relationship, Drug</term>
<term>Female</term>
<term>Foot</term>
<term>Humans</term>
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<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">We sought to determine whether the response to varying doses of botulinum toxin type A (BTX-A) injected in BTX-A-treated torticollis patients differed from the same injections given in toxin-naive individuals. We have developed a technique to objectively measure muscle weakness resulting from BTX injections in humans and have validated the technique in those not previously treated with BTX. We now examine BTX-A-treated torticollis patients to see if their response to BTX-A injection is similar to that of toxin-naive individuals. We injected 11 torticollis patients who had been receiving BTX-A injections with a standard 5-mouse unit (mu) dose into one extensor digitorum brevis (EDB) muscle and a varying dose into the other EDB, measuring muscle paralysis 2 weeks after the injection. Nine of the 11 patients were clinical and electrophysiologic responders. Two patients were non-responders. In the 9 responding patients the dose response curve to increasing doses of BTX-A was very similar to that seen in toxin-naive individuals. The mean muscle paralysis from the standard 5 mu dose was also similar to that previously reported in toxin-naive individuals. Torticollis patients who continue to respond clinically to BTX-A injections demonstrate essentially the same degree of muscle paralysis from the EDB injections as do subjects who have never been exposed to BTX-A.</div>
</front>
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<DateCreated><Year>2001</Year>
<Month>02</Month>
<Day>15</Day>
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<DateCompleted><Year>2001</Year>
<Month>06</Month>
<Day>14</Day>
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<DateRevised><Year>2010</Year>
<Month>11</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN>
<JournalIssue CitedMedium="Print"><Volume>16</Volume>
<Issue>1</Issue>
<PubDate><Year>2001</Year>
<Month>Jan</Month>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>Muscle paralysis produced by botulinum toxin type A injection in treated torticollis patients compared with toxin naive individuals.</ArticleTitle>
<Pagination><MedlinePgn>100-5</MedlinePgn>
</Pagination>
<Abstract><AbstractText>We sought to determine whether the response to varying doses of botulinum toxin type A (BTX-A) injected in BTX-A-treated torticollis patients differed from the same injections given in toxin-naive individuals. We have developed a technique to objectively measure muscle weakness resulting from BTX injections in humans and have validated the technique in those not previously treated with BTX. We now examine BTX-A-treated torticollis patients to see if their response to BTX-A injection is similar to that of toxin-naive individuals. We injected 11 torticollis patients who had been receiving BTX-A injections with a standard 5-mouse unit (mu) dose into one extensor digitorum brevis (EDB) muscle and a varying dose into the other EDB, measuring muscle paralysis 2 weeks after the injection. Nine of the 11 patients were clinical and electrophysiologic responders. Two patients were non-responders. In the 9 responding patients the dose response curve to increasing doses of BTX-A was very similar to that seen in toxin-naive individuals. The mean muscle paralysis from the standard 5 mu dose was also similar to that previously reported in toxin-naive individuals. Torticollis patients who continue to respond clinically to BTX-A injections demonstrate essentially the same degree of muscle paralysis from the EDB injections as do subjects who have never been exposed to BTX-A.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sloop</LastName>
<ForeName>R R</ForeName>
<Initials>RR</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Loma Linda University School of Medicine, California, USA.</Affiliation>
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<Language>eng</Language>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D010243">Paralysis</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012720">Severity of Illness Index</DescriptorName>
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