Botulinum Toxin-Associated Prolonged Remission of Idiopathic Cervical Dystonia

被引:0
作者
Saranza, Gerard [1 ,2 ,3 ]
Chen, Kai-Hsiang Stanley [1 ,2 ,4 ]
Ganos, Christos [5 ]
Kalia, Lorraine V. [1 ,2 ,6 ]
Chen, Robert [1 ,2 ,6 ]
Lang, Anthony E. [1 ,2 ,6 ]
机构
[1] Toronto Western Hosp, Edmond J Safra Program Parkinsons Dis, Toronto, ON, Canada
[2] Toronto Western Hosp, Morton & Gloria Shulman Movement Disorders Clin, Toronto, ON, Canada
[3] Chong Hua Hosp, Dept Med, Sect Neurol, Cebu, Philippines
[4] Natl Taiwan Univ Hosp, Hsin Chu Branch, Dept Neurol, Hsinchu, Taiwan
[5] Charite, Dept Neurol, Berlin, Germany
[6] Univ Toronto, Dept Med, Div Neurol, Toronto, ON, Canada
关键词
Botulinum toxin; Remission; Cervical dystonia; Dystonia; Relapse;
D O I
10.1017/cjn.2020.280
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Prolonged remission of dystonia occurs rarely; however, well-documented cases are lacking. We report the clinical characteristics and course of four patients with botulinum toxin (BoNT)-associated prolonged remission of idiopathic cervical dystonia. Mean age at onset was 40 years. All had a relatively short duration of symptoms (mean 10.3 months), and with remission occurring after <= 3 treatments with BoNT. At last examination, the remission duration was 2-5 years. In the two cases that subsequently relapsed after 4-5 years, there was an altered phenomenology and worsened severity than at the onset. Recognizing this rare phenomenon has valuable clinical implications.
引用
收藏
页码:864 / 868
页数:5
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