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Botulinum Toxin A Injection to Facial and Cervical Paraspinal Muscles in a Patient With Stiff Person Syndrome: A Case Report
Author(s) -
Pakeerappa Praveen N.,
Birthi Pravardhan,
Salles Sara
Publication year - 2015
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2014.10.013
Subject(s) - medicine , botulinum toxin , etiology , facial muscles , anesthesia , muscle spasm , neck pain , surgery , masseter muscle , stiff person syndrome , neck muscles , baclofen , anatomy , pathology , enzyme , agonist , biochemistry , glutamate decarboxylase , chemistry , alternative medicine , receptor
Stiff person syndrome (SPS) is a rare neurologic disorder of unknown etiology characterized by increased resting muscle tone, progressive rigidity, and stiffness of the axial musculature. We present a case of a 48‐year‐old male patient with SPS who experienced facial and neck muscle spasms that were uncontrolled with oral medications and the use of an intrathecal baclofen pump. Botulinum toxin A injections into the bilateral masseter and neck paraspinal muscles provided pain relief and spasm control, illustrating the use of botulinum toxin A injections in the small muscles of face and neck in patients with SPS.