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Botulinum toxin type A treatment of four cases of Wilson disease with lower limb dystonia: A prospective study.
- Source :
-
Toxicon . Jan2023, Vol. 221, pN.PAG-N.PAG. 1p. - Publication Year :
- 2023
-
Abstract
- Botulinum toxin type A (BoNT-A) has been recommended in various neurological disorders as a useful tool for alleviating dystonia. In Wilson disease (WD) patients with dystonia, BoNT-A injection can be used as a treatment modality when conventional treatment is ineffective for alleviating symptoms. The purpose of this study was to thoroughly evaluate the efficacy of BoNT-A injection in treating WD complicated by lower extremity dystonia. The efficacy of these injections was assessed by clinical scales, surface electromyography (EMG), and gait analysis. A comparative analysis of all gait parameters, EMG parameters, and clinical scales revealed a significant increase in velocity, decrease in integrated EMG (iEMG), and improvement in modified Ashworth scale (MAS), Burke Fahn Marsden (BFM), and activities of daily living (ADL) scores (all P < 0.05). Overall, our findings indicated that BoNT-A injection led to marked relief of symptoms in patients with WD with lower extremity dystonia. [Display omitted] • Single-blind, pre-and post-intervention study were initially performed in Wilson disease patients with lower limb dystonia. • Botulinum toxin type A injection improves the muscle tone, as evident by the decrease in integrated electromyogram. • Botulinum toxin type A injection improves walking function, as evident by the increase in velocity. • Botulinum toxin type A injection alleviates the symptoms of lower limb dystonia in Wilson disease patients. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00410101
- Volume :
- 221
- Database :
- Academic Search Index
- Journal :
- Toxicon
- Publication Type :
- Academic Journal
- Accession number :
- 160757316
- Full Text :
- https://doi.org/10.1016/j.toxicon.2022.106959