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Precise Muscle Selection Using Dynamic Polyelectromyography for Treatment of Post-stroke Dystonia: A Case Report

Authors
 Tae Min Jung  ;  Ae Ryoung Kim  ;  Yoonju Lee  ;  Dae-Hyun Kim  ;  Deog Young Kim 
Citation
 Annals of Rehabilitation Medicine, Vol.40(3) : 551-555, 2016 
Journal Title
 Annals of Rehabilitation Medicine 
ISSN
 2234-0645 
Issue Date
2016
Keywords
Botulinum toxins ; Dystonia ; Electromyography
Abstract
Dystonia has a wide range of causes, but treatment of dystonia is limited to minimizing the symptoms as there is yet no successful treatment for its cause. One of the optimal treatment methods for dystonia is chemodenervation using botulinum toxin type A (BTX-A), alcohol injection, etc., but its success depends on how precisely the dystonic muscle is selected. Here, we reported a successful experience in a 49-year-old post-stroke female patient who showed paroxysmal repetitive contractions involving the right leg, which may be of dystonic nature. BTX-A and alcohol were injected into the muscles which were identified by dynamic polyelectromyography. After injection, the dystonic muscle spasm, cramping pain, and the range of motion of the affected lower limb improved markedly, and she was able to walk independently indoors. In such a case, dynamic polyelectromyography may be a useful method for selecting the dominant dystonic muscles.
Files in This Item:
T201603685.pdf Download
DOI
10.5535/arm.2016.40.3.551
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
김대현(Kim, Dae-Hyun)
김덕용(Kim, Deog Young) ORCID logo https://orcid.org/0000-0001-7622-6311
김애령(Kim, Ae Ryoung)
이윤주(Lee, Yoon Ju)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152094
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