Botulinum toxin A for spasticity, muscle spasms, and rigidity.

Abstract:

:We studied the effects of botulinum toxin A in 12 patients with spasticity and in eight patients with rigidity. The study design was a double-blind, placebo-controlled crossover trial with botulinum toxin A versus saline. Using the Ashworth Scale for spasticity and the Unified Parkinson's Disease Rating Scale for rigidity, we gave the patients a tone grade before and 2 weeks after treatment. Improvement in tone by two grades or more was considered clinically significant. In the spasticity group, botulinum toxin A reduced the tone of all patients significantly, improved functionality and nursing care in eight of 12 patients, and alleviated painful spasms in five of five patients. In the rigidity group, muscle tone was decreased in seven of eight patients, functionality improved in four of seven, and joint and muscle pain decreased in four of five. We conclude that botulinum toxin A is effective against the disabling effects of spasticity and rigidity. The treatment was well tolerated.

journal_name

Neurology

journal_title

Neurology

authors

Grazko MA,Polo KB,Jabbari B

doi

10.1212/wnl.45.4.712

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

712-7

issue

4

eissn

0028-3878

issn

1526-632X

journal_volume

45

pub_type

临床试验,杂志文章,随机对照试验
  • Relapse occurrence in women with multiple sclerosis during pregnancy in the new treatment era.

    abstract:OBJECTIVE:To determine the rate of relapse occurrence during pregnancy and postpartum. METHODS:In a cross-sectional study using the national multiple sclerosis (MS) registry, pregnant women with relapsing MS were identified. Data on demographics, clinical characteristics, and disease-modifying therapies (DMTs), includ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000005065

    authors: Alroughani R,Alowayesh MS,Ahmed SF,Behbehani R,Al-Hashel J

    更新日期:2018-03-06 00:00:00

  • Neurologic improvement after peripheral blood stem cell transplantation in POEMS syndrome.

    abstract:BACKGROUND:Polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes (POEMS) syndrome is a rare multisystem disorder associated with plasma cell dyscrasia. There is increasing evidence that high-dose chemotherapy with autologous peripheral blood stem cell transplantation (Auto-PBSCT) is an efficacious t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000323811.42080.a4

    authors: Kuwabara S,Misawa S,Kanai K,Suzuki Y,Kikkawa Y,Sawai S,Hattori T,Nishimura M,Nakaseko C

    更新日期:2008-11-18 00:00:00

  • Spared awareness for the left side of internal visual images in patients with left-sided extrapersonal neglect.

    abstract::Two patients with neglect for extrapersonal space following right-hemisphere stroke both demonstrated retained ability to attend to the left side of internally generated visual images. The attentional system for extrapersonal space may not be identical to the attentional system for intrapersonal space. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.1_part_1.213

    authors: Anderson B

    更新日期:1993-01-01 00:00:00

  • Mitochondrial DNA nucleotide changes in non-arteritic ischemic optic neuropathy.

    abstract::The authors sequenced the entire mitochondrial DNA coding region in a group of 19 patients with non-arteritic anterior ischemic optic neuropathy (NAION) and in 100 controls. Synonymous and nonsynonymous nucleotide changes were more common in NAION patients (p < 0.001). Twelve of these (11 novel) were potentially patho...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000140696.34117.95

    authors: Bosley TM,Abu-Amero KK,Ozand PT

    更新日期:2004-10-12 00:00:00

  • Imaging of neuroinflammation in migraine with aura: A [11C]PBR28 PET/MRI study.

    abstract:OBJECTIVE:To determine if migraine with aura is associated with neuroinflammation, which has been suggested by preclinical models of cortical spreading depression (CSD) as well as imaging of human pain conditions. METHODS:Thirteen migraineurs with aura and 16 healthy controls received integrated PET/MRI brain scans wi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007371

    authors: Albrecht DS,Mainero C,Ichijo E,Ward N,Granziera C,Zürcher NR,Akeju O,Bonnier G,Price J,Hooker JM,Napadow V,Loggia ML,Hadjikhani N

    更新日期:2019-04-23 00:00:00

  • Relative effect of APOE ε4 on neuroimaging biomarker changes across the lifespan.

    abstract:OBJECTIVE:To provide a comprehensive understanding of APOE ε4 effects across the lifespan on the 3 main neuroimaging biomarkers. METHODS:Two hundred seven community-dwelling, cognitively normal APOE ε4 carriers and noncarriers aged 20-87 years were involved in this study. They underwent structural MRI, fluorodeoxygluc...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/WNL.0000000000003234

    authors: Gonneaud J,Arenaza-Urquijo EM,Fouquet M,Perrotin A,Fradin S,de La Sayette V,Eustache F,Chételat G

    更新日期:2016-10-18 00:00:00

  • Adult fucosidosis: histochemical and ultrastructural studies of rectal mucosa biopsy.

    abstract::Three sisters with adult fucosidosis showed prominent psychomotor retardation, gargoyle features, and angiokeratoma corporis diffusum, meeting the criteria for type II fucosidosis. By histochemical and ultrastructural studies, biopsy of rectal mucosa revealed many abnormal macrophages that were filled with fucose-rich...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.4.451

    authors: Ikeda S,Kondo K,Oguchi K,Yanagisawa N,Horigome R,Murata F

    更新日期:1984-04-01 00:00:00

  • Tapping linked to function and structure in premanifest and symptomatic Huntington disease.

    abstract:OBJECTIVE:Motor signs are functionally disabling features of Huntington disease. Characteristic motor signs define disease manifestation. Their severity and onset are assessed by the Total Motor Score of the Unified Huntington's Disease Rating Scale, a categorical scale limited by interrater variability and insensitivi...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e3182020123

    authors: Bechtel N,Scahill RI,Rosas HD,Acharya T,van den Bogaard SJ,Jauffret C,Say MJ,Sturrock A,Johnson H,Onorato CE,Salat DH,Durr A,Leavitt BR,Roos RA,Landwehrmeyer GB,Langbehn DR,Stout JC,Tabrizi SJ,Reilmann R

    更新日期:2010-12-14 00:00:00

  • Vestibular function assessment using the NIH Toolbox.

    abstract:OBJECTIVE:Development of an easy to administer, low-cost test of vestibular function. METHODS:Members of the NIH Toolbox Sensory Domain Vestibular, Vision, and Motor subdomain teams collaborated to identify 2 tests: 1) Dynamic Visual Acuity (DVA), and 2) the Balance Accelerometry Measure (BAM). Extensive work was comp...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182872c6a

    authors: Rine RM,Schubert MC,Whitney SL,Roberts D,Redfern MS,Musolino MC,Roche JL,Steed DP,Corbin B,Lin CC,Marchetti GF,Beaumont J,Carey JP,Shepard NP,Jacobson GP,Wrisley DM,Hoffman HJ,Furman G,Slotkin J

    更新日期:2013-03-12 00:00:00

  • Phenotypic expression of X-linked dystonia-parkinsonism (lubag) in two women.

    abstract::Lubag (X-linked dystonia-parkinsonism) has been considered a sex-linked recessive trait and has been mapped to the pericentromeric region of the X chromosome. We studied a 54-year-old man with lubag and two of his female first cousins. Genetic typing was carried out using X chromosome markers. Fluorodopa PET was perfo...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.8.1555

    authors: Waters CH,Takahashi H,Wilhelmsen KC,Shubin R,Snow BJ,Nygaard TG,Moskowitz CB,Fahn S,Calne DB

    更新日期:1993-08-01 00:00:00

  • Lateralizing signs in intractable partial epilepsy: blinded multiple-observer analysis.

    abstract::We evaluated the accuracy and interobserver variability of selected ictal and postictal behavioral changes. Three observers, blinded to clinical history, EEG, and side of surgical resection, analyzed videotapes of 166 seizures in 38 patients, looking for lateralizing signs. Twenty-seven patients with temporal lobe res...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.12.2519

    authors: Chee MW,Kotagal P,Van Ness PC,Gragg L,Murphy D,Lüders HO

    更新日期:1993-12-01 00:00:00

  • Antibody-associated CNS syndromes without signs of inflammation in the elderly.

    abstract:OBJECTIVE:To report the CNS syndromes of patients ≥60 years of age with antibodies against neuronal surface antigens but no evidence of brain MRI and CSF inflammatory changes. METHODS:This was a retrospective clinical analysis of patients with antibodies against neuronal surface antigens who fulfilled 3 criteria: age ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004541

    authors: Escudero D,Guasp M,Ariño H,Gaig C,Martínez-Hernández E,Dalmau J,Graus F

    更新日期:2017-10-03 00:00:00

  • Primary angiitis of the CNS and reversible cerebral vasoconstriction syndrome: A comparative study.

    abstract:OBJECTIVES:To further improve the distinction between primary angiitis of the CNS (PACNS) and reversible cerebral vasoconstriction syndrome (RCVS). METHODS:We compared 2 large French cohorts of patients with PACNS (n = 110, retrospectively and prospectively enrolled) and RCVS (n = 173, prospectively enrolled). RESULT...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006367

    authors: de Boysson H,Parienti JJ,Mawet J,Arquizan C,Boulouis G,Burcin C,Naggara O,Zuber M,Touzé E,Aouba A,Bousser MG,Pagnoux C,Ducros A

    更新日期:2018-10-16 00:00:00

  • Fatigue therapy in multiple sclerosis: results of a double-blind, randomized, parallel trial of amantadine, pemoline, and placebo.

    abstract:OBJECTIVE:To determine the relative efficacy of amantadine, pemoline, and placebo in treatment of multiple sclerosis (MS)-related fatigue. BACKGROUND:Fatigue is a complication of MS. Both pemoline and amantadine have been used to treat MS fatigue, but their relative efficacy is not known. METHODS:Amantadine, pemoline...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.45.11.1956

    authors: Krupp LB,Coyle PK,Doscher C,Miller A,Cross AH,Jandorf L,Halper J,Johnson B,Morgante L,Grimson R

    更新日期:1995-11-01 00:00:00

  • Mild cognitive impairment: long-term course of four clinical subtypes.

    abstract:OBJECTIVE:To empirically validate the expanded concept of mild cognitive impairment (MCI), which differentiates between four clinical subtypes-amnestic MCI-single domain, amnestic MCI-multiple domains, nonamnestic MCI-single domain, and nonamnestic MCI-multiple domains-and to examine the prevalence, course, and outcome...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/01.wnl.0000249117.23318.e1

    authors: Busse A,Hensel A,Gühne U,Angermeyer MC,Riedel-Heller SG

    更新日期:2006-12-26 00:00:00

  • Infarction in the anterior rostral cerebellum (the territory of the lateral branch of the superior cerebellar artery).

    abstract::We report 9 patients with an isolated infarct of the anterior part of the rostral cerebellum, ie, the territory of the lateral branch of the superior cerebellar artery. Clinicoanatomic correlations are based on CT, MRI, or both in 8 patients and on pathologic data in the ninth. The main clinical features were ipsilate...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.2_part_1.253

    authors: Amarenco P,Roullet E,Goujon C,Chéron F,Hauw JJ,Bousser MG

    更新日期:1991-02-01 00:00:00

  • SEPT9 gene sequencing analysis reveals recurrent mutations in hereditary neuralgic amyotrophy.

    abstract:BACKGROUND:Hereditary neuralgic amyotrophy (HNA) is an autosomal dominant disorder that manifests as recurrent, episodic, painful brachial neuropathies. A gene for HNA maps to chromosome 17q25.3 where mutations in SEPT9, encoding the septin-9 protein, have been identified. OBJECTIVE:To determine the frequency and type...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181a609e3

    authors: Hannibal MC,Ruzzo EK,Miller LR,Betz B,Buchan JG,Knutzen DM,Barnett K,Landsverk ML,Brice A,LeGuern E,Bedford HM,Worrall BB,Lovitt S,Appel SH,Andermann E,Bird TD,Chance PF

    更新日期:2009-05-19 00:00:00

  • Handcuff neuropathies.

    abstract::Compressive neuropathy due to tight application of handcuffs occurred in 5 patients. The superficial radial nerve was affected in 8 hands and the median nerve in two. Neurologic deficits persisted as long as 3 years after handcuffing. Nerve conduction studies helped to exclude malingering and other diagnoses. All pati...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.1.145

    authors: Stone DA,Laureno R

    更新日期:1991-01-01 00:00:00

  • Local alterations of hemostatic-fibrinolytic mechanisms in reforming subdural hematomas.

    abstract::Multiple chemical and coagulation determinations were undertaken on the subdural hematoma fluid from the reformed effusions of two patients. It was found that plasma or blood repeatedly reentered the subdural cavity. Coagulation studies compared the in vitro effects of subdural fluid with those of cerebrospinal fluid,...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.7.669

    authors: Labadie EL,Glover D

    更新日期:1975-07-01 00:00:00

  • Hemispatial visual inattention masquerading as hemianopia.

    abstract::The defect occurring when a patient fails to report a visual stimulus presented in a visual half-field may be attributed to hemianopia (deafferentation) caused by a geniculocalcarine lesion. However, failure to report a stimulus presented in a visual field may also be caused by hemispatial visual inattention. We repor...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.8.1125

    authors: Kooistra CA,Heilman KM

    更新日期:1989-08-01 00:00:00

  • Vitamin D, cognition, and dementia: a systematic review and meta-analysis.

    abstract:OBJECTIVE:To examine the association between cognitive function and dementia with vitamin D concentration in adults. METHODS:Five databases were searched for English-language studies up to August 2010, and included all study designs with a comparative group. Cognitive function or impairment was defined by tests of glo...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1212/WNL.0b013e31826c197f

    authors: Balion C,Griffith LE,Strifler L,Henderson M,Patterson C,Heckman G,Llewellyn DJ,Raina P

    更新日期:2012-09-25 00:00:00

  • Immunologic studies of patients with chronic encephalitis induced by post-exposure Semple rabies vaccine.

    abstract::Neurologic complications of brain tissue-derived rabies vaccine may be chronic or progressive. Lymphocytes and serum from three patients with this form of encephalitis were studied. Two patients had positive lymphoproliferation to purified myelin, two had antibody to white matter, and one had antibody to myelin basic ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.1.42

    authors: Hemachudha T,Griffin DE,Johnson RT,Giffels JJ

    更新日期:1988-01-01 00:00:00

  • A multi-institutional study of brainstem gliomas in children with neurofibromatosis type 1.

    abstract:OBJECTIVE:To define the clinical and radiologic features of brainstem gliomas (BSGs) in children with neurofibromatosis type 1 (NF1). METHODS:We performed a retrospective cross-sectional study of 133 children with NF1 and concurrent BSGs cared for at 4 NF1 referral centers. BSG was determined using radiographic criter...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000003881

    authors: Mahdi J,Shah AC,Sato A,Morris SM,McKinstry RC,Listernick R,Packer RJ,Fisher MJ,Gutmann DH

    更新日期:2017-04-18 00:00:00

  • Etiology of aseptic meningitis and encephalitis in an adult population.

    abstract:OBJECTIVE:To investigate the etiology of aseptic meningitis and encephalitis in an adult population using modern microbiologic methods. METHODS:Consecutive patients (ages > or =16) with aseptic meningitis or encephalitis treated in Turku University Hospital, Finland, during 1999 to 2003 were included in the study. Mic...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000191407.81333.00

    authors: Kupila L,Vuorinen T,Vainionpää R,Hukkanen V,Marttila RJ,Kotilainen P

    更新日期:2006-01-10 00:00:00

  • Treatment of the first tonic-clonic seizure does not affect long-term remission of epilepsy.

    abstract::We followed 419 patients with a first, unprovoked, primarily or secondarily generalized tonic-clonic seizure, randomized to immediate antiepileptic treatment or to treatment only in the event of seizure recurrence. The probability of achieving a 2-year remission was 72 vs 57% at 3 months, 84 to 79% at 3 years, and 85 ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/01.wnl.0000249309.80510.63

    authors: Leone MA,Solari A,Beghi E,FIRST Group.

    更新日期:2006-12-26 00:00:00

  • Antigen processing gene polymorphisms in HLA-DR2 multiple sclerosis.

    abstract::The association between multiple sclerosis (MS) and alleles of the HLA class II genes indicates that at least one MS susceptibility gene is linked to the HLA class II region. However, the actual locus responsible has not been precisely identified. The recent cloning of new genes involved in antigen processing that map...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.6.1192

    authors: Liblau R,van Endert PM,Sandberg-Wollheim M,Patel SD,Lopez MT,Land S,Fugger L,McDevitt HO

    更新日期:1993-06-01 00:00:00

  • Inflammatory trigeminal sensory neuropathy mimicking trigeminal neurinoma.

    abstract::Idiopathic trigeminal sensory neuropathy is a benign disorder. We report two patients with transient MRI abnormalities, suggesting transient inflammation of the trigeminal nerve caused temporary facial sensory symptoms. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.5.1455

    authors: Rorick MB,Chandar K,Colombi BJ

    更新日期:1996-05-01 00:00:00

  • Isoniazid for tremor in multiple sclerosis: a controlled trial.

    abstract::We evaluated the effects of isoniazid on tremor in 13 patients with MS. Patients were evaluated before treatment, after 1 month of therapy (1,000 mg daily), and 1 month after the last dose. Ten patients improved on at least one of three methods of evaluation. Transient side effects were common, possibly because there ...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.35.12.1772

    authors: Duquette P,Pleines J,du Souich P

    更新日期:1985-12-01 00:00:00

  • Evaluation of hyperacute infarct volume using ASPECTS and brain CT perfusion core volume.

    abstract:OBJECTIVE:To compare the accuracy of Alberta Stroke Program Early Computed Tomography Score (ASPECTS) and CT perfusion to detect established infarction in acute anterior circulation stroke. METHODS:We performed an observational study in 59 acute anterior circulation ischemic stroke patients who underwent brain noncont...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004028

    authors: Demeestere J,Garcia-Esperon C,Garcia-Bermejo P,Ombelet F,McElduff P,Bivard A,Parsons M,Levi C

    更新日期:2017-06-13 00:00:00

  • Crossed cerebellar and uncrossed basal ganglia and thalamic diaschisis in Alzheimer's disease.

    abstract::We detected crossed cerebellar as well as uncrossed basal ganglia and thalamic diaschisis in Alzheimer's disease by positron emission tomography (PET) using 18F-fluorodeoxyglucose. We studied a series of 26 consecutive, clinically diagnosed Alzheimer cases, including 6 proven by later autopsy, and compared them with 9...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.4.541

    authors: Akiyama H,Harrop R,McGeer PL,Peppard R,McGeer EG

    更新日期:1989-04-01 00:00:00