Open AccessLingual Dystonia Treated with Botulinum Toxin - A Case Report
Author(s) -
MA Hayee,
QD Mohammad,
Habibur Rahman,
Maliha Hakim,
SM Kibria
Publication year - 1970
Publication title -
journal of bangladesh college of physicians and surgeons/journal of bangladesh college of physicians and surgeons
Language(s) - English
Resource type - Journals
eISSN - 2309-6365
pISSN - 1015-0870
DOI - 10.3329/jbcps.v24i2.152
Subject(s) - drooling , medicine , dystonia , tongue , aspiration pneumonia , botulinum toxin , surgery , pediatrics , anesthesia , pneumonia , psychiatry , pathology
A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally.
(J Bangladesh Coll Phys Surg 2006; 24: 75-78)