Stroke-Induced Trismus in a Pediatric Patient
| Autor: | Jean E. Shelton, Kathleen S. Spillane, Michael F. Hasty |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
business.industry Rehabilitation Physical Therapy Sports Therapy and Rehabilitation Neurological disorder Trismus medicine.disease Dysphagia Botulinum toxin Surgery Central nervous system disease Medicine Spasticity medicine.symptom business Stroke Pterygoid Muscles medicine.drug |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 82:485-488 |
| ISSN: | 0894-9115 |
| DOI: | 10.1097/01.phm.0000070110.26037.86 |
| Popis: | We present a case of prolonged resolution of stroke-induced trismus after botulinum toxin A treatment in a 9 1/2-yr-old boy. The patient had an idiopathic right posterior fossa hemorrhage with resultant spastic quadriparesis, ataxia, dysarthria, and dysphagia. He developed right-sided trismus with only fair response to stretch. Several months after discharge, the patient had worsening trismus with an interincisal distance of only 0.4-0.7 cm and difficulty with oral hygiene and eating. The patient was treated with botulinum toxin A to the masseter muscles with minimal response. Four months later, he received botulinum toxin A to the bilateral masseter and temporalis muscles and to the right medial and lateral pterygoid muscles, with more improvement. His third and last botulinum toxin A treatment was to the bilateral masseter, temporalis, lateral, and medial pterygoid muscles in larger doses. He had an excellent response, maintaining an interincisal distance of 2.5 cm 1 yr later, with significant improvement in speaking and chewing. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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