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Likhachev S.A.

Respublikanskiĭ nauchno-prakticheskiĭ tsentr nevrologii i neĭrokhirurgii Ministerstva zdravookhraneniia Respubliki Belarus', Minsk

Chernukha T.N.

Chernenko N.I.

Treatment of writers cramp with botulotoxin А

Authors:

Likhachev S.A., Chernukha T.N., Chernenko N.I.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2011;111(2): 49‑53

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To cite this article:

Likhachev SA, Chernukha TN, Chernenko NI. Treatment of writers cramp with botulotoxin А. S.S. Korsakov Journal of Neurology and Psychiatry. 2011;111(2):49‑53. (In Russ.)

 
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The article presents the analysis and description of clinical manifestation of writers cramp detected in 21 patients living in Belarus. Clinical variants of disease, possible methods of treatment are discussed. The method for effective treatment of writers cramp by an injection of botulotoxin type А with sonography is described. Patients with writers cramp have undergone sonographic analysis of the forearm soft tissues in the area of supposed injection before the procedure of botulotoxin A introduction. Nerves and vessels position, subcutaneous fat and forearm muscles, thickness of points of an injection, have been determined. For objective assessment of qualities of treatment was used Burke-Fahn-Marsden scale.

Keywords:

writers cramp
botulotoxin А
dysport

Authors:

Likhachev S.A.

Respublikanskiĭ nauchno-prakticheskiĭ tsentr nevrologii i neĭrokhirurgii Ministerstva zdravookhraneniia Respubliki Belarus', Minsk

Chernukha T.N.

Chernenko N.I.

List of references:

  1. Antipova L.N., Katrich A.N., Muzlaev G.G. Opyt primeneniya sonograficheskogo kontrolya in''ektsii botulotoksina tipa A. Farmateka 2007; 17: 83-87.
  2. Orlova O.R., Yakhno N.N. Primenenie Botoksa (BTA) v klinicheskoi praktike: Rukovodstvo dlya vrachei. M: Katalog 2000; 208.
  3. Shavlovskaya O.A., Orlova O.R., Golubev V.L. Fenomen paradoksal'nykh kinezii pri fokal'noi forme distonii - pischem spazme. Zhurn nevrol i psikh 2005; 9: 11-13.
  4. Shtok V.N. Ekstrapiramidnye rasstroistva: Rukovodstvo po diagnostike i lecheniyu. Pod red. V.N. Shtok, I.A. Ivanovoi-Smolenskoi, O.S. Levina. M: MEDpress-inform 2002.
  5. Brin M.F., Hallett M., Jankovic J. Scientific and therapeutic aspects of botulinum toxic. NY: Wilkins 2002; 507.
  6. Burke R., Fahn S, Marsden C. et al. Validity and reliability of a rating scale for the primary torsion dystonias. Neurology 1985; 35: 73-77.
  7. Collaborative Group. The Epidemiological Study of Dystonia in Europe (ESDE). A prevalence study of primary dystonia in eight European countries. Neurol 2000; 47: 787-792.
  8. Djebbari R., Montcel S., Sangla S. et al. Factors predicting improvement in motor disability in writers cramp treated with botulinum toxin//J.Neurol. Neurosurg. Psychiatry 2004; 75: 1688-1691.
  9. Dressler D. Botulinum Toxin Therapy. Stuttgart: Thieme-Verlag 2000; 192.
  10. Goto S., Tsuiki H., Soyama N. et al. Stereotactic selective Vo-complex thalamotomy in a patient with dystonic writes cramp. Neurology 1997; 49: 1173-1174.
  11. Jancovic J., Van Der Linden C. Dystonia and tremor induced by peripheral trauma: Predisposing factors. J Neurol Neurosurg Psychiatry 1988; 51: 1512-1519.

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