Neuromuscular effects distant from the site of botulinum neurotoxin injection.

Abstract:

:We assessed the severity and temporal profile of distant neuromuscular effects from a single dose (280 units) of botulinum neurotoxin injected into neck muscles for torticollis. We performed single-fiber EMG studies on the biceps brachii of six patients to measure jitter (20 pairs) and fiber density on the initial treatment day and then again, at least once more, after 2 to 12 weeks. No patient developed weakness beyond the neck muscles or decrement of the biceps response to repetitive 3-Hz nerve stimulation. Between the baseline and the last follow-up study, the average of mean MCD increased from 29 microseconds to 38 microseconds (31%). Mean fiber density increased concurrently or earlier from 1.35 to 1.79 (33%). There were no electrophysiologic signs of presynaptic blockade, even at 2 and 4 weeks. The effects we observed are compatible with stimulation of terminal sprouting by the neurotoxin, without significant presynaptic inhibition of acetylcholine release. We therefore believe that higher dosages of the neurotoxin may be used if clinically indicated.

journal_name

Neurology

journal_title

Neurology

authors

Olney RK,Aminoff MJ,Gelb DJ,Lowenstein DH

doi

10.1212/wnl.38.11.1780

subject

Has Abstract

pub_date

1988-11-01 00:00:00

pages

1780-3

issue

11

eissn

0028-3878

issn

1526-632X

journal_volume

38

pub_type

杂志文章
  • Perivascular infiltrate of memory lymphocytes and mature dendritic cells in MG thymomas.

    abstract::In thymomas associated with myasthenia gravis (MG), the authors found that perivascular infiltrates of memory lymphocytes and mature dendritic cells (DCs) were more frequent in patients with early improvement after thymectomy than in patients without response to thymectomy. Although these findings may be limited to pa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000174560.35190.84

    authors: Nagane Y,Utsugisawa K,Akutsu H,Sato Y,Terayama Y

    更新日期:2005-09-13 00:00:00

  • Serum triglycerides in Alzheimer disease: Relation to neuroimaging and CSF biomarkers.

    abstract:OBJECTIVE:To investigate the association of triglyceride (TG) principal component scores with Alzheimer disease (AD) and the amyloid, tau, neurodegeneration, and cerebrovascular disease (A/T/N/V) biomarkers for AD. METHODS:Serum levels of 84 TG species were measured with untargeted lipid profiling of 689 participants ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009436

    authors: Bernath MM,Bhattacharyya S,Nho K,Barupal DK,Fiehn O,Baillie R,Risacher SL,Arnold M,Jacobson T,Trojanowski JQ,Shaw LM,Weiner MW,Doraiswamy PM,Kaddurah-Daouk R,Saykin AJ,Alzheimer's Disease Neuroimaging Initiative and Alzheim

    更新日期:2020-05-19 00:00:00

  • The value of intracranial pressure monitoring in acute hemispheric stroke.

    abstract:BACKGROUND AND PURPOSE:Persistently elevated intracranial pressure (ICP) has been associated with poor clinical outcome after severe brain injury, such as neurotrauma, intracerebral hemorrhage, and subarachnoidal hemorrhage. Although ICP monitoring is increasingly being used in intensive care treatment of patients with...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.2.393

    authors: Schwab S,Aschoff A,Spranger M,Albert F,Hacke W

    更新日期:1996-08-01 00:00:00

  • Accuracy and yield of ICD-9 codes for identifying children with ischemic stroke.

    abstract::The medical records of all children at our hospital with International Classification of Diseases 9th revision (ICD-9) codes 342, 433 to 438, or 767 from May 1999 to May 2004 were reviewed to assess whether they had stroke (any type) or, specifically, arterial ischemic stroke (AIS). Code accuracy ranged from 37 to 88%...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000247281.98094.e2

    authors: Golomb MR,Garg BP,Saha C,Williams LS

    更新日期:2006-12-12 00:00:00

  • Tourette's syndrome and 'PANDAS': will the relation bear out? Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection.

    abstract::Despite strong evidence of the importance of hereditary factors in the etiology of Tourette's syndrome (TS), research findings have consistently pointed to a role of environmental influences. A recent line of research has suggested that tic disorders and associated behavioral disturbances, such as obsessive-compulsive...

    journal_title:Neurology

    pub_type: 评论,杂志文章,评审

    doi:10.1212/wnl.50.6.1530

    authors: Kurlan R

    更新日期:1998-06-01 00:00:00

  • Pergolide in the treatment of Parkinson's disease.

    abstract::Pergolide, a long-acting central dopamine agonist, was used as monotherapy in 16 parkinsonian patients. A mean daily dose of 6.3 mg resulted in 73% improvement of parkinsonian disability. Clinical improvement after acute administration of one dose of pergolide was similar to that observed after levodopa plus a periphe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.7.983

    authors: Mear JY,Barroche G,de Smet Y,Weber M,Lhermitte F,Agid Y

    更新日期:1984-07-01 00:00:00

  • Failure of inactivation of Duchenne dystrophy X-chromosome in one of female identical twins.

    abstract::Duchenne muscular dystrophy manifested in one of girl twins. The twins were monozygous on the basis of red cell and HL antigens and skin graft compatibility. Karyotyping, including banding techniques, showed a normal number of chromosomes and a normal configuration of the X-chromosome in both twins. The twins were ide...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.6.537

    authors: Gomez MR,Engel AG,Dewald G,Peterson HA

    更新日期:1977-06-01 00:00:00

  • Functional hemispherectomy: EEG findings, spiking from isolated brain postoperatively, and prediction of outcome.

    abstract::We reviewed the prognostic significance of preoperative EEG findings in 25 patients who underwent functional hemispherectomy. Bilateral independent epileptogenic foci, found in five patients, generally indicate a less satisfactory outcome, with only three of the five patients becoming seizure free following hemisphere...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.11.1790

    authors: Smith SJ,Andermann F,Villemure JG,Rasmussen TB,Quesney LF

    更新日期:1991-11-01 00:00:00

  • Distinguishing between extrinsic and intrinsic tongue muscle weakness in unilateral hypoglossal palsy.

    abstract::A 53-year-old man presented with multiple right cranial nerve palsies that included the tongue. When the tongue was protruded, it deviated to the right. However, when the tongue was not protruded, he could readily turn the tip of the tongue to the left, but not to the right. Protrusion of the tongue requires the actio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.10.1367

    authors: Riggs JE

    更新日期:1984-10-01 00:00:00

  • Neuroinflammation drives anxiety and depression in relapsing-remitting multiple sclerosis.

    abstract:OBJECTIVE:To explore the inflammatory processes in the pathogenesis of psychiatric symptoms and the prognostic value of psychiatric comorbidities in multiple sclerosis (MS). METHODS:Four hundred five patients with relapsing-remitting (RR) MS underwent psychiatric evaluation by means of Beck Depression Inventory II (BD...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004411

    authors: Rossi S,Studer V,Motta C,Polidoro S,Perugini J,Macchiarulo G,Giovannetti AM,Pareja-Gutierrez L,Calò A,Colonna I,Furlan R,Martino G,Centonze D

    更新日期:2017-09-26 00:00:00

  • Physical activity and the association with sporadic ALS.

    abstract:OBJECTIVE:To assess whether lifetime physical activity during work and leisure time is associated with an increased risk of developing ALS and to determine the association between physical activity and duration or age at onset of disease. METHODS:Patients referred to our clinic during the 1-year period 2001 to 2002 wh...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.WNL.0000149513.82332.5C

    authors: Veldink JH,Kalmijn S,Groeneveld GJ,Titulaer MJ,Wokke JH,van den Berg LH

    更新日期:2005-01-25 00:00:00

  • Age-associated leukoaraiosis and cortical cholinergic deafferentation.

    abstract:OBJECTIVE:To investigate the relationship between age-associated MRI leukoaraiosis or white matter hyperintensities (WMH) and cortical acetylcholinesterase (AChE) activity. BACKGROUND:One possible mechanism of cognitive decline in elderly individuals with leukoaraiosis is disruption of cholinergic fibers by strategica...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181a187c6

    authors: Bohnen NI,Müller ML,Kuwabara H,Constantine GM,Studenski SA

    更新日期:2009-04-21 00:00:00

  • Serum and CSF vitamin A concentrations in idiopathic intracranial hypertension.

    abstract:BACKGROUND:Elevated serum retinol, CSF retinol, and serum retinol binding protein (RBP) levels have been found in some patients with idiopathic intracranial hypertension (IIH), but serum and CSF retinol levels have not been studied in matched serum and CSF samples in patients with IIH. OBJECTIVE:To determine whether s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000163556.31080.98

    authors: Tabassi A,Salmasi AH,Jalali M

    更新日期:2005-06-14 00:00:00

  • Antimyoclonic effects of alcohol in progressive myoclonus epilepsy.

    abstract::We studied the effect of a single oral intake of 30 to 40 grams of alcohol in 4 consecutive patients presenting with Ramsay Hunt syndrome, the most common type of degenerative progressive myoclonic epilepsy (PME) encountered in southern Europe. Clinical and polygraphic monitoring demonstrated abatement of myoclonus in...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.9.1412

    authors: Genton P,Guerrini R

    更新日期:1990-09-01 00:00:00

  • 3-Methylglutaconic aciduria type I redefined: a syndrome with late-onset leukoencephalopathy.

    abstract:OBJECTIVE:3-Methylglutaconic aciduria type I is a rare inborn error of leucine catabolism. It is thought to present in childhood with nonspecific symptoms; it was even speculated to be a nondisease. The natural course of disease is unknown. METHODS:This is a study on 10 patients with 3-methylglutaconic aciduria type I...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181f39a8a

    authors: Wortmann SB,Kremer BH,Graham A,Willemsen MA,Loupatty FJ,Hogg SL,Engelke UF,Kluijtmans LA,Wanders RJ,Illsinger S,Wilcken B,Cruysberg JR,Das AM,Morava E,Wevers RA

    更新日期:2010-09-21 00:00:00

  • Human muscle proteins: analysis by two-dimensional electrophoresis.

    abstract::Proteins from single frozen sections of human muscle were separated by two-dimensional gel electrophoresis and detected by fluorography or Coomassie Blue staining. The major proteins were identical in different normal muscles obtained from either sex at different ages, and in Duchenne and myotonic dystrophy samples. C...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.9.1152

    authors: Giometti CS,Danon MJ,Anderson NG

    更新日期:1983-09-01 00:00:00

  • Headache types and panic disorder: directionality and specificity.

    abstract:OBJECTIVE:To examine the relationship of migraine and other severe headaches with panic disorder. METHODS:Representative samples of persons with migraine, non-migrainous severe headaches, and controls with no history of severe headaches, identified by a telephone survey, were interviewed in person, using a standardize...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.3.350

    authors: Breslau N,Schultz LR,Stewart WF,Lipton R,Welch KM

    更新日期:2001-02-13 00:00:00

  • Neurophysiologic analysis of neuromuscular symptoms in UK Gulf War veterans: a controlled study.

    abstract:BACKGROUND:UK veterans who were deployed to the Gulf in 1990 to 1991 reported higher prevalence of neuromuscular symptoms. OBJECTIVE:To investigate whether these Gulf War-related symptoms were associated with objective evidence of neuromuscular dysfunction. METHODS:Forty-nine Gulf War veterans with more than four neu...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/01.wnl.0000032755.27372.fc

    authors: Sharief MK,Priddin J,Delamont RS,Unwin C,Rose MR,David A,Wessely S

    更新日期:2002-11-26 00:00:00

  • Multifocal brain MRI artifacts secondary to embolic metal fragments.

    abstract::We report a patient with unusual MRI abnormalities that had the physical characteristics of ferromagnetic artifact. We believe that the MRI artifacts were due to microscopic embolic metal fragments, most likely from a mechanical heart valve prosthesis. Potential sources of metal emboli should be considered in patients...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.49.5.1451

    authors: Wingerchuk DM,Krecke KN,Fulgham JR

    更新日期:1997-11-01 00:00:00

  • Improvement of motor function in early Parkinson disease by safinamide.

    abstract::A median safinamide (SAF) dose of 70 mg/day (range 40 to 90 mg/day) increased the percentage of parkinsonian patients improving their motor scores by > or =30% from baseline (responders) after 3 months from 21.4% (placebo) to 37.5% (p < 0.05, calculated by logistic regression analysis). In a subgroup of 101 patients u...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/01.wnl.0000134672.44217.f7

    authors: Stocchi F,Arnold G,Onofrj M,Kwiecinski H,Szczudlik A,Thomas A,Bonuccelli U,Van Dijk A,Cattaneo C,Sala P,Fariello RG,Safinamide Parkinson's Study Group.

    更新日期:2004-08-24 00:00:00

  • Proportional anterior commissure area in humans and monkeys.

    abstract::Behavioral testing following division of the corpus callosum has shown that the anterior commissure can transfer information related to visual tasks interhemispherically in nonhuman primates but not in humans. We have found that the ratio of anterior commissure cross-sectional area to total neocortical commissural are...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.11.1513

    authors: Foxman BT,Oppenheim J,Petito CK,Gazzaniga MS

    更新日期:1986-11-01 00:00:00

  • Genotype-phenotype correlation of paroxysmal nonkinesigenic dyskinesia.

    abstract:BACKGROUND:Paroxysmal nonkinesigenic dyskinesia (PNKD) is a rare disorder characterized by episodic hyperkinetic movement attacks. We have recently identified mutations in the MR-1 gene causing familial PNKD. METHODS:We reviewed the clinical features of 14 kindreds with familial dyskinesia that was not clearly induced...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000262029.91552.e0

    authors: Bruno MK,Lee HY,Auburger GW,Friedman A,Nielsen JE,Lang AE,Bertini E,Van Bogaert P,Averyanov Y,Hallett M,Gwinn-Hardy K,Sorenson B,Pandolfo M,Kwiecinski H,Servidei S,Fu YH,Ptácek L

    更新日期:2007-05-22 00:00:00

  • Long-term experience with selegiline and levodopa in Parkinson's disease.

    abstract::Between 1982 and 1989, 197 patients with Parkinson's disease were treated with selegiline and levodopa for at least 0.3 years. Two groups of patients were included: a group of 65 patients (stage 2 or 3 on the Hoehn and Yahr Scale) who recently had been started on levodopa and were not experiencing response fluctuation...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:

    authors: Lieberman A

    更新日期:1992-04-01 00:00:00

  • Prion protein codon 129 polymorphism and risk of Alzheimer disease.

    abstract::The authors investigated the PRNP Met129Val polymorphism in 1,393 subjects including 482 patients with Alzheimer disease (AD) and two independent control groups. In patients, PRNP Met homozygosity conferred increasing risk with decreasing age at onset (onset: 61 to 70 years, n = 151, p = 0.02, odds ratio [OR] = 1.72, ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000130198.72589.69

    authors: Riemenschneider M,Klopp N,Xiang W,Wagenpfeil S,Vollmert C,Müller U,Förstl H,Illig T,Kretzschmar H,Kurz A

    更新日期:2004-07-27 00:00:00

  • A Japanese boy with myalgia and cramps has a novel in-frame deletion of the dystrophin gene.

    abstract::We report a Japanese Becker muscular dystrophy (BMD) patient with occasional myalgia and cramps during normal activity that developed at the age of 28 months. His family history was negative for neuromuscular diseases. Muscle biopsy analyses, including dystrophin immunostaining, disclosed no clinically relevant findin...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.5.1347

    authors: Ishigaki C,Patria SY,Nishio H,Yabe M,Matsuo M

    更新日期:1996-05-01 00:00:00

  • Quantitative magnetic resonance characterization of mesial temporal sclerosis in childhood.

    abstract:OBJECTIVE:To investigate whether quantitative MR techniques can be used to distinguish between mesial temporal sclerosis in patients with a history of prolonged febrile convulsion and in patients without such a history. METHODS:Quantitative hippocampal T2 relaxometry, hippocampal volumetry, and single voxel (1)H-MRS d...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.12.1659

    authors: Scott RC,Gadian DG,Cross JH,Wood SJ,Neville BG,Connelly A

    更新日期:2001-06-26 00:00:00

  • The treatment of postprandial hypotension in autonomic failure with 3,4-DL-threo-dihydroxyphenylserine.

    abstract::Postprandial hypotension occurs commonly in patients with autonomic failure and may be due to attenuation of the normal sympathetic nervous system activation in response to meal ingestion. In a randomized, double-blind, placebo-controlled study, we investigated the therapeutic effect of the norepinephrine precursor 3,...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.47.6.1414

    authors: Freeman R,Young J,Landsberg L,Lipsitz L

    更新日期:1996-12-01 00:00:00

  • Deep brain stimulation improves orthostatic regulation of patients with Parkinson disease.

    abstract:OBJECTIVE:To evaluate whether subthalamic nucleus (STN) stimulation has an effect on the orthostatic regulation of patients with Parkinson disease (PD), we studied cardiovascular regulation during on and off phases of STN stimulation. METHODS:We examined 14 patients with PD (mean age 58.1 +/- 5.8 years, 4 women, 10 me...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000244416.30605.f1

    authors: Stemper B,Beric A,Welsch G,Haendl T,Sterio D,Hilz MJ

    更新日期:2006-11-28 00:00:00

  • The medial brachial fascial compartment syndrome following axillary arteriography.

    abstract:OBJECTIVE:To review clinical and electrodiagnostic features of the medial brachial fascial compartment syndrome, a complication of percutaneous axillary vessel puncture. METHODS:The authors reviewed electrodiagnostic examinations over a 20-year period. RESULTS:This syndrome presents with weakness, pain, and numbness ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000089488.35632.08

    authors: Tsao BE,Wilbourn AJ

    更新日期:2003-10-28 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