Role for botulinum toxin in back pain treatment in adults with cerebral palsy: report of a case - 01/01/03
pages | 3 |
Iconographies | 0 |
Vidéos | 0 |
Autres | 0 |
Résumé |
Objective. - To report a case illustrating the usefulness of botulinum toxin A in the treatment of spinal dystonia responsible for low back pain and postural disorders.
Methods. - Critical appraisal of a case report.
Case report. - A young woman with cerebral palsy had lumbar paraspinal muscle dystonia responsible for pain and hyperlordosis unresponsive to oral medications for muscle spasm. Botulinum toxin A (Botox®, 200 U) was injected into the paraspinal muscles at six sites, to good effect.
Discussion. - The few reported cases consistently show a favorable effect of local botulinum toxin A injections in patients with painful paraspinal muscle dystonia related to neurological disease or chronic low back pain.
Conclusion. - Botulinum toxin A may be a useful treatment for incapacitating painful dystonia of the paraspinal muscles. This treatment improves posture in the sitting position and facilitates the fitting of orthotic devices. Furthermore, botulinum toxin A treatment may help to determine whether an intrathecal baclofen test is in order.
Mots clés : Cerebral palsy ; Botulinum toxin A ; Dystonia ; Low back pain.
Plan
Vol 71 - N° 1
P. 76-78 - janvier 2004 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?