Document Detail


Severe trismus as a complication of cerebrovascular accident: a case report.
MedLine Citation:
PMID:  15759251     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spastic hypertonia is a common sequelae after a cerebrovascular accident (CVA) and is a component of an upper motoneuron lesion. Management of spastic hypertonia may involve the use of centrally acting agents, peripheral blockade, and ablative therapies. We report a case of spastic hypertonia leading to severe trismus after CVA that was successfully treated with botulinum toxin type A. Severe trismus is a potentially life-threatening condition that may lead to permanent functional impairment if not promptly diagnosed and treated. Using electromyography for botulinum toxin muscle selection in this case appears to have helped decrease the dose of botulinum toxin given as well as minimize potential side effects.
Authors:
Vivek Kadyan; Albert C Clairmont; Michael Engle; Sam C Colachis
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  86     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-10     Completed Date:  2005-04-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  594-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, Ohio State University, College of Medicine, Columbus, OH, USA.
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MeSH Terms
Descriptor/Qualifier:
Botulinum Toxin Type A / therapeutic use
Female
Humans
Middle Aged
Neuromuscular Agents / therapeutic use
Stroke / complications*,  physiopathology
Trismus / drug therapy,  etiology*,  physiopathology
Chemical
Reg. No./Substance:
0/Botulinum Toxin Type A; 0/Neuromuscular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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