Botulinum Toxin in the Treatment of Writer's Cramp
作者:
N. Turjanski,
Z. Pirtosek,
J. Quirk,
T. Anderson,
J. Rivest,
C. Marsden,
A. Lees,
期刊:
Clinical Neuropharmacology
(OVID Available online 1996)
卷期:
Volume 19,
issue 4
页码: 314-320
ISSN:0362-5664
年代: 1996
出版商: OVID
关键词: Writer's cramp;Botulinum toxin;Dystonia;Focal dystonia;Hand dystonia.
数据来源: OVID
摘要:
Summary:Forty‐four patients with disabling writer's cramp (WC) and one with a musician's cramp were treated with botulinum toxin (BT) injections for a mean period of 12 (range, 3‐48) months.The forearm muscles causing the dystonic position were identified by inspection while writing; BT was then administered under electromyographic (EMG) guidance. The degree of improvement in writing and amelioration of pain were rated with self‐assessment scales. Patients reported significant improvement in writing after 56% treatment sessions (TS) and in pain after 62% TS. Mild weakness occurred after 32% TS. Twenty‐nine patients discontinued treatment, generally after the initial BT injection. In 16 patients who remained on treatment with a mean follow‐up of 21 (range, 3‐48) months, the improvement in writing and pain was present after 76 and 79% of the TS, respectively. We conclude that BT injections offered a worthwhile and sustained functional improvement to 36% of our patients with WC.
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