Neurologic uses of botulinum neurotoxin type A
Author(s) -
John P. Ney
Publication year - 2008
Publication title -
neuropsychiatric disease and treatment
Language(s) - English
Resource type - Journals
eISSN - 1178-2021
pISSN - 1176-6328
DOI - 10.2147/ndt.s1612
Subject(s) - medicine , botulinum neurotoxin , blepharospasm , spasticity , neurochemical , movement disorders , physical medicine and rehabilitation , clinical trial , neuroscience , intensive care medicine , bioinformatics , botulinum toxin , pathology , surgery , biochemistry , chemistry , disease , toxin , biology
This article reviews the current and most neurologic uses of botulinum neurotoxin type A (BoNT-A), beginning with relevant historical data, neurochemical mechanism at the neuromuscular junction. Current commercial preparations of BoNT-A are reviewed, as are immunologic issues relating to secondary failure of BoNT-A therapy. Clinical uses are summarized with an emphasis on controlled clinical trials (as appropriate), including facial movement disorders, focal neck and limb dystonias, spasticity, hypersecretory syndromes, and pain.
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