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Titolo:
Treatment of dystonic clenched fist with botulinum toxin
Autore:
Cordivari, C; Misra, VP; Catania, S; Lees, AJ;
Indirizzi:
Univ Coll London, Reta Lila Weston Inst Neurol Studies, London W1T 4JF, England Univ Coll London London England W1T 4JF Studies, London W1T 4JF, England Natl Hosp Neurol & Neurosurg, Dept Clin Neurophysiol, London WC1N 3BG, England Natl Hosp Neurol & Neurosurg London England WC1N 3BG n WC1N 3BG, England
Titolo Testata:
MOVEMENT DISORDERS
fascicolo: 5, volume: 16, anno: 2001,
pagine: 907 - 913
SICI:
0885-3185(200109)16:5<907:TODCFW>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
PROGRESSIVE SUPRANUCLEAR PALSY; PARKINSONS-DISEASE; CONTRACTURES; LIMB; SPASTICITY; MUSCLE;
Keywords:
botulinum toxin; EMG; dystonic clenched fist; Parkinson's disease; corticobasal degeneration; dystonia associated with complex regional pain syndrome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Lees, AJ Univ Coll London, Reta Lila Weston Inst Neurol Studies, Windeyer Bldg 46,Cleveland St, London W1T 4JF, England Univ Coll London Windeyer Bldg 46,Cleveland St London England W1T 4JF
Citazione:
C. Cordivari et al., "Treatment of dystonic clenched fist with botulinum toxin", MOVEMENT D, 16(5), 2001, pp. 907-913

Abstract

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 thedosage 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 degreeof 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.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 18:35:15