Botulinum toxin improves sialorrhea and quality of living in bulbar amyotrophic lateral sclerosis.

Abstract:

:Sialorrhea is frequently a socially disabling symptom in patients with bulbar amyotrophic lateral sclerosis (ALS). In this open-label prospective study, we report the effect of botulinum toxin A (Botox) injection into the parotid glands in 10 patients with bulbar ALS and socially disabling sialorrhea. We applied three different outcome measures to determine the effect of Botox therapy on sialorrhea. Botox significantly improved the degree of sialorrhea and a drooling impact score and, by inference, the quality of living, in over half of the patients with bulbar ALS and severe sialorrhea. The beneficial effect of Botox lasted for at least 2 months in those who responded. No major adverse effects were noted. Local injection of a small dose of Botox into the parotid glands can control sialorrhea and potentially improve living quality in some patients with bulbar ALS.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Verma A,Steele J

doi

10.1002/mus.20545

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

235-7

issue

2

eissn

0148-639X

issn

1097-4598

journal_volume

34

pub_type

临床试验,杂志文章
  • Motor function-muscle strength relationship in spinal muscular atrophy.

    abstract::The relationship between motor function and muscle strength in patients with spinal muscular atrophy (SMA) is still controversial. In 120 genetically proven SMA patients, aged 5 years or older, we measured muscle strength in the arms and legs by a hand-held dynamometer, forced vital capacity by a spirometer, and the t...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20018

    authors: Merlini L,Bertini E,Minetti C,Mongini T,Morandi L,Angelini C,Vita G

    更新日期:2004-04-01 00:00:00

  • Limitations of 6-minute walk test reference values for spinal muscular atrophy.

    abstract:INTRODUCTION:The 6-minute walk test (6MWT) is a well-established clinical assessment of functional endurance, validated as a measure of walking ability in spinal muscular atrophy (SMA). The current availability of disease-modifying therapies for SMA indicates a growing need for normative reference data to compare SMA p...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.26794

    authors: Goodwin AM,Cornett KMD,McKay MJ,Burns J,Garber CE,De Vivo DC,Montes J

    更新日期:2020-03-01 00:00:00

  • Myosin light chain components in single muscle fibers of Duchenne muscular dystrophy.

    abstract::Single muscle fibers were prepared from biopsy specimens of Duchenne muscular dystrophy (DMD), normal, and neuromuscular disease controls. Single muscle cells were classified as type 1, type 2, or intermediate by the skinned fiber method. The intermediate fiber was most abundant in DMD, comprising 29% of fibers examin...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880050511

    authors: Takagi A,Ishiura S,Nonaka I,Sugita H

    更新日期:1982-05-01 00:00:00

  • Quantitative laryngeal electromyography parameters may correlate with improved outcomes following botulinum toxin injection for spasmodic dysphonia.

    abstract:BACKGROUND:Despite use of qualitative laryngeal electromyography (LEMG) guided botulinum toxin A (BoNT-A) injection for treatment of adductor spasmodic dysphonia (AdSD), unsatisfactory injections and complete "misses" remain problematic. We aimed to determine if the quantitative LEMG measure of number of small segments...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.27161

    authors: Dwyer CD,Leclerc AA,Nandedkar SD,Young VN,Rosen CA

    更新日期:2020-12-31 00:00:00

  • Location-dependent change of median nerve mobility in the carpal tunnel of patients with carpal tunnel syndrome.

    abstract:INTRODUCTION:The purpose of this study was to investigate in vivo median nerve longitudinal mobility in different segments of the carpal tunnel associated with active finger motion in carpal tunnel syndrome (CTS) patients in a comparison with healthy controls. METHODS:Eleven healthy volunteers and 11 CTS patients part...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.27017

    authors: Yao Y,Grandy E,Evans PJ,Seitz WH Jr,Li ZM

    更新日期:2020-10-01 00:00:00

  • Recovery of excitability of cutaneous afferents in the median and sural nerves following activity.

    abstract::In acquired polyneuropathies, symptoms and signs are typically distal and symmetrical, more prominent in the lower limbs than the upper limbs. This study was undertaken to measure the extent of the decrease in excitability produced by single impulses and by impulse trains in cutaneous afferents in the median and sural...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(200005)23:5<763::aid-mus14

    authors: Lin CS,Mogyoros I,Burke D

    更新日期:2000-05-01 00:00:00

  • Cytokines and the pathogenesis of myasthenia gravis.

    abstract::Myasthenia gravis (MG) and its animal model experimental autoimmune myasthenia gravis (EAMG) are caused by autoantibodies against nicotinic acetylcholine receptor (AChR) in skeletal muscle. The production of anti-AChR antibodies is mediated by cytokines produced by CD4+ and CD8+ T helper (Th) cells. Emerging investiga...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199705)20:5<543::aid-mus2>

    authors: Zhang GX,Navikas V,Link H

    更新日期:1997-05-01 00:00:00

  • Optimal location for eliciting the tibial H-reflex and motor response.

    abstract:INTRODUCTION:Although there are numerous protocols to adjust the amplitude of the Hoffmann reflex (H-reflex) relative to the size of the direct motor response (M-response), the optimal stimulating location has not been described. We sought to determine the optimal positioning of the stimulating cathode when evoking the...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.26308

    authors: Özyurt MG,Shabsog M,Dursun M,Türker KS

    更新日期:2018-12-01 00:00:00

  • Type IV collagen and its degradation in paralyzed human muscle: effect of functional electrical stimulation.

    abstract::The purpose of this study was to evaluate the effects of spinal cord injury (SCI) and functional electrical stimulation (FES) of paralyzed muscles on type IV collagen content and proteins involving its degradation, which is initiated by matrix metalloproteinase (MMP)-2 and -9 and regulated by their tissue inhibitors (...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(200004)23:4<580::aid-mus18

    authors: Koskinen SO,Kjaer M,Mohr T,Sørensen FB,Suuronen T,Takala TE

    更新日期:2000-04-01 00:00:00

  • Stroke-related effects on maximal dynamic hip flexor fatigability and functional implications.

    abstract:INTRODUCTION:Stroke-related changes in maximal dynamic hip flexor muscle fatigability may be more relevant functionally than isometric hip flexor fatigability. METHODS:Ten chronic stroke survivors performed 5 sets of 30 hip flexion maximal dynamic voluntary contractions (MDVC). A maximal isometric voluntary contractio...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24520

    authors: Kuhnen HR,Rybar MM,Onushko T,Doyel RE,Hunter SK,Schmit BD,Hyngstrom AS

    更新日期:2015-03-01 00:00:00

  • Needlestick injuries among electromyographers.

    abstract::The objective of this study was to determine the self-reported prevalence of needlestick injuries among practicing electromyographers. In January 2008, an anonymous electronic survey was sent to all active members of the American Association for Neuromuscular and Electrodiagnostic Medicine (AANEM) who provided e-mail ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.21118

    authors: Mateen FJ,Grant IA,Sorenson EJ

    更新日期:2008-12-01 00:00:00

  • Assessment of upper and lower motor neurons in Kennedy's disease: implications for corticomotoneuronal PSTH studies.

    abstract::We used peristimulus time histograms (PSTHs) to estimate characteristics of the composite excitatory postsynaptic potentials (EPSPs) generated at the anterior horn cell by a descending cortical volley induced by subthreshold transcranial magnetic stimuli in 11 normal subjects, 9 patients with DNA-confirmed Kennedy's d...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199903)22:3<299::aid-mus2>

    authors: Weber M,Eisen A

    更新日期:1999-03-01 00:00:00

  • Changes in intramuscular collagen and fibronectin in denervation atrophy.

    abstract::The distribution of collagen types I, III, and V and fibronectin was investigated by means of immunofluorescent techniques in denervated and normal rat skeletal muscle. During a period of 28 days, a distinct atrophy developed in the denervated gastrocnemius muscle and was accompanied by an increase in types I and III ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880080208

    authors: Salonen V,Lehto M,Kalimo M,Penttinen R,Aro H

    更新日期:1985-02-01 00:00:00

  • SEPs and CNS magnetic stimulation in syringomyelia.

    abstract::Somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs) to transcranial and spinal stimulation from upper and lower limb muscles were elicited in 13 patients with syringomyelia. Seven had an associated Chiari type I anomaly. Diagnosis was confirmed by MRI. In 5 cases, SEPs and MEPs were performed bef...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880150904

    authors: Nogués MA,Pardal AM,Merello M,Miguel MA

    更新日期:1992-09-01 00:00:00

  • Adult human masseter muscle fibers express myosin isozymes characteristic of development.

    abstract::Masseter muscle biopsies were obtained from nine patients undergoing orthognatic surgery or surgery for parotid tumors. A detailed enzyme-histochemical and immunocytochemical study of these muscles was performed using antibodies specific to the various isozymes of the myosin heavy chain (MHC) in order to identify the ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880110614

    authors: Butler-Browne GS,Eriksson PO,Laurent C,Thornell LE

    更新日期:1988-06-01 00:00:00

  • Activity of Krebs cycle enzymes in mdx mice.

    abstract:INTRODUCTION:Duchenne muscular dystrophy (DMD) is a degenerative disease of skeletal, respiratory, and cardiac muscles caused by defects in the dystrophin gene. More recently, brain involvement has been verified. Mitochondrial dysfunction and oxidative stress may underlie the pathophysiology of DMD. In this study we ev...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24704

    authors: Comim CM,Hoepers A,Ventura L,Freiberger V,Dominguini D,Mina F,Mendonça BP,Scaini G,Vainzof M,Streck EL,Quevedo J

    更新日期:2016-01-01 00:00:00

  • The role of cranial and thoracic electromyography within diagnostic criteria for amyotrophic lateral sclerosis.

    abstract:INTRODUCTION:The contribution of cranial and thoracic region electromyography (EMG) to diagnostic criteria for amyotrophic lateral sclerosis (ALS) has not been evaluated. METHODS:Clinical and EMG data from each craniospinal region were retrospectively assessed in 470 patients; 214 had ALS. Changes to diagnostic classi...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25062

    authors: Jenkins TM,Alix JJ,Kandler RH,Shaw PJ,McDermott CJ

    更新日期:2016-09-01 00:00:00

  • Polysaccharide storage myopathy.

    abstract::In a woman with a slowly progressive adult onset proximal myopathy, muscle biopsy showed storage of PAS positive material in type 1 fibers. This material consisted of a branched chain polysaccharide associated with a mucoprotein. No abnormality of glycogen-pathway enzymes was detected. This suggested that this polysac...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880110411

    authors: Thompson AJ,Swash M,Cox EL,Ingram DA,Gray A,Schwartz MS

    更新日期:1988-04-01 00:00:00

  • Intravascular lymphomatosis.

    abstract::Intravascular lymphomatosis, also known as endovascular lymphoma or angiotropic large cell lymphoma, is a rare malignancy typically diagnosed at autopsy. We describe a case in which the diagnosis was made at an early stage. Specific electrodiagnostic findings suggested concomitant polyneuropathy and myopathy. Suspicio...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.10091

    authors: Oei ME,Kraft GH,Sarnat HB

    更新日期:2002-05-01 00:00:00

  • Eye-controlled, power wheelchair performs well for ALS patients.

    abstract:BACKGROUND:Our pilot study tested the feasibility and performance of an eye-controlled power wheelchair for amyotrophic lateral sclerosis (ALS) patients. METHODS:In this prospective pilot study, participants drove the wheelchair three times around an indoor course. We assessed the time to complete the course; starting...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.26655

    authors: Elliott MA,Malvar H,Maassel LL,Campbell J,Kulkarni H,Spiridonova I,Sophy N,Beavers J,Paradiso A,Needham C,Rifley J,Duffield M,Crawford J,Wood B,Cox EJ,Scanlan JM

    更新日期:2019-11-01 00:00:00

  • Analysis of muscle fiber clustering in the diaphragm muscle of sarcopenic mice.

    abstract:INTRODUCTION:Sarcopenia likely comprises muscle fiber denervation and re-innervation, resulting in clustering of muscle fibers of the same type (classified by myosin heavy chain isoform composition). Development of methodology to quantitatively evaluate clustering of muscle fibers according to fiber type is necessary. ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24641

    authors: Greising SM,Medina-Martínez JS,Vasdev AK,Sieck GC,Mantilla CB

    更新日期:2015-07-01 00:00:00

  • Posture-related changes of soleus H-reflex excitability.

    abstract::We investigated whether the modulatory effects of segmental and descending inputs on the soleus H reflex are modified by postural conditions. Fourteen healthy volunteers received a transcranial magnetic stimulus (TMS) or percutaneous electrical stimulation of the posterior tibial nerve (PTN), preceding by 0 to 400 ms ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(200006)23:6<925::aid-mus13

    authors: Goulart F,Valls-Solé J,Alvarez R

    更新日期:2000-06-01 00:00:00

  • Vasomotor dysfunction in carpal tunnel syndrome.

    abstract::Little attention has been paid to small-fiber dysfunction in carpal tunnel syndrome (CTS) although its symptoms are common. This study investigates vasomotor dysfunction, which is controlled by small nerve fibers, in patients with CTS compared with control subjects. Vasomotor function was quantified by measuring, with...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.10475

    authors: Wilder-Smith EP,Fook-Chong S,Chew SE,Chow A,Guo Y

    更新日期:2003-11-01 00:00:00

  • Ocular neuropathy in peripheral neuropathies.

    abstract::Ocular movements and coordination require complex and integrated functions of somatic and autonomic nervous systems. Neurological disorders affecting these nervous systems may cause ocular dysfunction involving extraocular muscles and pupils. In this article, the prevalence, clinical presentations, and management of o...

    journal_title:Muscle & nerve

    pub_type: 杂志文章,评审

    doi:10.1002/mus.23414

    authors: Evliyaoglu F,Karadag R,Burakgazi AZ

    更新日期:2012-11-01 00:00:00

  • Electrical stimulation impairs early functional recovery and accentuates skeletal muscle atrophy after sciatic nerve crush injury in rats.

    abstract::Neuromuscular recovery after peripheral nerve lesion depends on the regeneration of severed axons that re-establish their functional connection with the denervated muscle. The aim of this study was to determine the effects of electrical stimulation (ES) on the neuromuscular recovery after nerve crush injury in rats. E...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.21549

    authors: Gigo-Benato D,Russo TL,Geuna S,Domingues NR,Salvini TF,Parizotto NA

    更新日期:2010-05-01 00:00:00

  • Genetic modifiers of Duchenne and facioscapulohumeral muscular dystrophies.

    abstract::Muscular dystrophy is defined as the progressive wasting of skeletal muscles that is caused by inherited or spontaneous genetic mutations. Next-generation sequencing has greatly improved the accuracy and speed of diagnosis for different types of muscular dystrophy. Advancements in depth of coverage, convenience, and o...

    journal_title:Muscle & nerve

    pub_type: 杂志文章,评审

    doi:10.1002/mus.25953

    authors: Hightower RM,Alexander MS

    更新日期:2018-01-01 00:00:00

  • Statistical motor unit number estimation: reproducibility and sources of error in patients with amyotrophic lateral sclerosis.

    abstract::The reliability of motor unit number estimation (MUNE) for assessment of the long-term course of ALS is dependent on the reproducibility of the technique. We report our results with the statistical method of MUNE on the ulnar nerve/hypothenar muscle in 16 ALS patients who were studied on 52 occasions. On each occasion...

    journal_title:Muscle & nerve

    pub_type: 临床试验,杂志文章

    doi:10.1002/(sici)1097-4598(200002)23:2<193::aid-mus8>

    authors: Olney RK,Yuen EC,Engstrom JW

    更新日期:2000-02-01 00:00:00

  • Recurrent idiopathic lumbosacral plexopathy.

    abstract::Recurrent idiopathic lumbosacral plexopathy has rarely been reported in the literature. The present report describes a 59-year-old man presenting with recurrent episodes of acute leg pain, followed by weakness. After each episode, symptoms progressed for several months before peaking. Thereafter, gradual recovery ensu...

    journal_title:Muscle & nerve

    pub_type: 杂志文章,评审

    doi:10.1002/1097-4598(200009)23:9<1439::aid-mus18>3.0.

    authors: Yee T

    更新日期:2000-09-01 00:00:00

  • Neuromyotonia, peripheral neuropathy and myasthenia gravis.

    abstract::A patient with neuromyotonia, peripheral neuropathy and myasthenia gravis (MG) is described. Neurophysiological studies, at rest, showed continuous muscle discharges of motor unit action potentials (MUAPs) in duplets and triplets. Motor (MNCV) and sensory (SNCV) nerve conduction studies revealed mild axonal and demyel...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(SICI)1097-4598(199604)19:4<505::AID-MUS10

    authors: Martinelli P,Patuelli A,Minardi C,Cau A,Riviera AM,Dal Pozzo F

    更新日期:1996-04-01 00:00:00

  • Physical function and mobility in children with congenital myotonic dystrophy.

    abstract:INTRODUCTION:Congenital myotonic dystrophy (CDM) occurs when symptoms of myotonic dystrophy present at birth. In this study we evaluated the relationship between physical function, muscle mass, and age to provide an assessment of the disease and help prepare for therapeutic trials. METHODS:CDM participants performed t...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25482

    authors: Pucillo EM,Dibella DL,Hung M,Bounsanga J,Crockett B,Dixon M,Butterfield RJ,Campbell C,Johnson NE

    更新日期:2017-08-01 00:00:00