Intramuscular botulinum toxin-A in complex regional pain syndrome resistant to standard treatment: a case report.

Wiener klinische Wochenschrift 2024 Vol.136(13-14) p. 419-422

Tombak Y, Karaahmet OZ, Unlu Akyuz E

관련 도메인

Abstract

[OBJECTIVE] To present a patient with complex regional pain syndrome type 1 (CRPS-I) and improvement of contracture of hand muscles and grip strength after successful treatment with botulinum neurotoxin‑A (BoNT-A).

[CASE] A 53-year-old woman with CRPS‑I experienced severe allodynia, swelling and autonomic changes in the left hand after a distal radius fracture. Over the succeeding months, she developed contracture of the left hand muscles which was treated with injection of BoNT‑A into the hand muscles (10 points).

[RESULTS] In the patient treatment with BoNT‑A an improvement was seen in the hand range of motion (ROM) and grip strength.

[CONCLUSION] Successful results can be obtained with BoNT‑A injection in treatment-resistant CRPS‑I cases which may develop joint contracture.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 1
해부 Intramuscular botulinum toxin-A scispacy 1
해부 muscles scispacy 1
약물 [OBJECTIVE] scispacy 1
약물 BoNT-A → botulinum neurotoxin‑A scispacy 1
약물 BoNT‑A scispacy 1
약물 [RESULTS] scispacy 1
질환 pain C0030193
Pain
scispacy 1
질환 CRPS-I scispacy 1
질환 contracture C0009917
Contracture
scispacy 1
질환 allodynia C0458247
Allodynia
scispacy 1
질환 swelling C0013604
Edema
scispacy 1
질환 fracture C0016658
Fracture
scispacy 1
질환 treatment-resistant C4020575
Treatment-Resistant
scispacy 1
기타 patient scispacy 1
기타 BoNT‑A scispacy 1
기타 joint scispacy 1

MeSH Terms

Humans; Female; Middle Aged; Injections, Intramuscular; Botulinum Toxins, Type A; Treatment Outcome; Neuromuscular Agents; Reflex Sympathetic Dystrophy

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