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Br J Oral Maxillofac Surg · Oct 2007
Case ReportsBotulinum toxin A for treating muscular contractures in cephalic tetanus.
- Abel García-García, José M Gándara-Rey, Antonio Crespo-Abelleira, and Javier Jorge-Barreiro.
- Facultad de Medicina y Odontología, University of Santiago de Compostela, Santiago de Compostela, Spain. ciabelgg@usc.es
- Br J Oral Maxillofac Surg. 2007 Oct 1; 45 (7): 573-5.
ObjectiveThis study reports the use of botulinum toxin for treatment of muscle contractures in a patient with cephalic tetanus.MethodCase report.ResultsAn 80-year-old woman was diagnosed with cephalic tetanus, with contractures of the masseter, sternocleidomastoid, trapezius, and levator scapulae muscles. After one month of conventional treatment good recovery was observed, but with persistence of the contractures of the sternocleidomastoid, trapezius and levator scapulae. These contractures were treated with botulinum toxin A (75IU in the right sternocleidomastoid, 25IU in the right trapezius; one month later 50IU in the left levator scapulae, 50IU in the right levator scapulae, 75IU in the left sternocleidomastoid; two months later 25IU in the left trapezius). Full recovery was observed.ConclusionsLocal infiltration with botulinum toxin A appears to be an effective treatment for persistent muscle contracture in cephalic tetanus.
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