Journal
MOVEMENT DISORDERS
Volume 16, Issue 5, Pages 907-913Publisher
WILEY-BLACKWELL
DOI: 10.1002/mds.1186
Keywords
botulinum toxin; EMG; dystonic clenched fist; Parkinson's disease; corticobasal degeneration; dystonia associated with complex regional pain syndrome
Categories
Ask authors/readers for more resources
Fourteen patients with dystonic clenched fist (three with Corticobasal Ganglionic Degeneration, seven with Parkinson's disease, and four with Dystonic-Complex Regional Pain Syndrome) were treated with botulinum toxin A (BTXA, Dysport (R)). The muscles involved were identified by the hand posture and EMG activity recorded at rest and during active and passive flexion/extension movements of the finger and wrist. EMG was useful in distinguishing between muscle contraction and underlying contractures and to determine the dosage of BTX. All patients had some degree of flexion at the proximal metacarpophalangeal joints and required injections into the lumbricals. The response in patients depended on the severity of the deformity and the degree of contracture. All patients had significant benefit to pain, with accompanying muscle relaxation, and palmar infection, when present. was eradicated. Four patients With Parkinson's disease and one patient with Dystonia-Complex Regional Pain Syndrome obtained functional benefit. (C) 2001 Movement Disorder Society.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available