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Botulinum toxin a may be efficacious as treatment for jaw tremor in Parkinson's disease

✍ Scribed by Susanne A. Schneider; Mark J. Edwards; Carla Cordivari; William N. Macleod; Kailash P. Bhatia


Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
55 KB
Volume
21
Category
Article
ISSN
0885-3185

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✦ Synopsis


Abstract

Jaw tremor in Parkinson's disease (PD) may not respond well to conventional treatment. It causes embarrassment and social handicap. We piloted the use of botulinum toxin (BTX) injections in three patients with PD jaw tremor. BTX A (Dysport; mean, 53 U; range, 30–100 U) was given into each masseter muscle. Outcome was assessed by subjective and clinical improvement and by video recording before and 4 to 9 weeks after injections. There was an excellent response in all without side effects. BTX injections into the masseter may effectively improve jaw tremor and be useful in PD and other conditions. © 2006 Movement Disorder Society