𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Ultrasound-guided injection of the iliopsoas muscle with botulinum toxin in camptocormia

✍ Scribed by Rainer von Coelln; Armin Raible; Thomas Gasser; Friedrich Asmus

Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
133 KB
Volume
23
Category
Article
ISSN
0885-3185

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Camptocormia is characterized by an abnormal posture of the trunk with pronounced flexion of the thoraco‐lumbar spine during standing and walking, which abates in a supine position. Treatment options for camptocormia are limited and mostly futile. Here, we report on the ultrasound‐guided ventral injection of botulinum toxin A (BTX) into deep portions of the iliopsoas muscle in four parkinsonian patients with camptocormia as chief complaint. Using this novel and safe application technique, all patients received 500–1,500 MU of BTX per side in 4–6 month intervals. Treatment was generally well tolerated. At the highest dose, all patients complained of mild weakness of hip flexion. Standardized physical exam at follow‐up visits, as well as self‐assessment of patients, failed to show a relevant and lasting improvement of posture. In conclusion, injection of BTX into the iliopsoas does not appear to be a promising approach for the treatment of parkinsonism‐associated camptocormia. © 2008 Movement Disorder Society

📜 SIMILAR VOLUMES

Computed tomographically-controlled inje
Computed tomographically-controlled injection of botulinum toxin into the longus colli muscle in severe anterocollis
✍ Birgit Herting; Silke Wunderlich; Theresa Glöckler; Martin Bendszus; Dirk Mucha; 📂 Article 📅 2003 🏛 John Wiley and Sons 🌐 English ⚖ 514 KB

## Abstract We report on a 44‐year‐old man who suffered from severe anterocollis. Repeated computed tomographically controlled injections of botulinum toxin into the right longus colli muscle allowed a precise location of the needle and injection of the toxin, leading to clear improvement of sympto

Secondary nonresponsiveness to botulinum
Secondary nonresponsiveness to botulinum toxin A in cervical dystonia: The role of electromyogram-guided injections, botulinum toxin A antibody assay, and the extensor digitorum brevis test
✍ Carla Cordivari; Vijay Peter Misra; Angela Vincent; Santiago Catania; Kailash P. 📂 Article 📅 2006 🏛 John Wiley and Sons 🌐 English ⚖ 125 KB

## Abstract We studied 20 patients with cervical dystonia who had started to respond poorly to botulinum toxin A (BTXA) injections after an initial good response. All patients had extensor digitorum brevis (EDB) tests performed in addition to BTXA immunoprecipition assay (IPA) and mouse bioassay (M

Botulinum toxin injection into vocal cor
Botulinum toxin injection into vocal cord in the treatment of malignant coprolalia associated with Tourette's syndrome
✍ Burton L. Scott; Dr. Joseph Jankovic; Donald T. Donovan 📂 Article 📅 1996 🏛 John Wiley and Sons 🌐 English ⚖ 310 KB

## Abstract We describe a 13‐year‐old boy with Tourette's syndrome (TS) manifested chiefly by severe coprolalia, obsessive compulsive disorder, and attention deficit hyperactivity disorder. He was treated with unilateral injections of botulinum toxin to the vocal cord and experienced marked improve

The effect of injecting botulinum toxin
The effect of injecting botulinum toxin type a into the calf muscles on freezing of gait in Parkinson's disease: A double blind placebo-controlled pilot study
✍ Tanya Gurevich; Chava Peretz; Orna Moore; Nina Weizmann; Nir Giladi 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 61 KB

## Abstract ## Objective To assess the effect on freezing of gait (FOG) of botulinum toxin type A (BTX‐A) injections in advanced Parkinson's disease (PD) patients. ## Method BTX‐A 150 IU or normal saline was injected into each leg's calf muscles by a blinded investigator. FOG severity was assess