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Dystonic posture of lower extremities associated with myelomeningocele: successful treatment with botulinum A toxin in a six-month-old child.

Abstract
We report on a six-month-old child with severe intermittent dystonic posture of both legs associated to a thoraco-lumbar myelomeningocele. The patient presented with a combination of progressive hypertonic knee extension and hip flexion. While the mobility of the right leg improved sufficiently after physiotherapy and splinting, satisfactory improvement of the left leg could be achieved only after local injections of botulinum A toxin, allowing for adequate functional motor development.
AuthorsF Heinen, R Korinthenberg, R Stücker, G Deuschl
JournalNeuropediatrics (Neuropediatrics) Vol. 26 Issue 4 Pg. 214-6 (Aug 1995) ISSN: 0174-304X [Print] Germany
PMID8544962 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Botulinum Toxins
Topics
  • Botulinum Toxins (administration & dosage, therapeutic use)
  • Combined Modality Therapy
  • Dystonia (drug therapy, etiology, therapy)
  • Humans
  • Infant
  • Male
  • Meningomyelocele (complications)
  • Physical Therapy Modalities

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