Local Injection of Botulinum Toxin Type A for Hemifacial Spasm
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概要
- 論文の詳細を見る
The preliminary experience of botulinum toxin treatment for hemifacial spasm is reported in this study. Five patients were treated with 10 injections of botulinum toxin in total. Botulinum toxin had a good to excellent effect in all cases. Improvement was observed 2 weeks to 1 month after the injection. The duration of improvement was 0-9 months (mean 4.2 months). The peak rank tended to decrease and the duration of improvement increased after several treatments. Hemifacial spasm caused by the anterior inferior cerebellar artery tended to subside easily. In contrast, compression by the vertebral artery was more refractory. Continuous facial spasm caused by operative trauma subsided after the injection, but paroxysmal spasm still occurred when eating or laughing. Spasm caused by trauma disappeared 4.5 months after the injection. The complications, which were facial nerve paresis in two cases (3 injections, 30%) and diplopia in one case (1 injection, 10%), were transient and subsided in 2 weeks.
- 日本脳神経外科学会の論文
- 2002-06-15
著者
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OYAMA Hirofumi
Department of Neurosurgery, Ogaki Municipal Hospital
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Nakashima Yasuhiro
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
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IKEDA Akira
Department of Neurosurgery, Chukyo Hospital
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Oyama Hirofumi
Department Of Human Welfare Ritsumeikan University
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Shibuya Masato
Department Of Neurosurgery Chukyo Hospital
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Shibuya Masato
Department Of Media And Image Technology Faculty Of Engineering Tokyo Polytechnic University
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Ikeda Akira
Department Of Anatomy Kawasaki Medical School
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Inoue Shigeo
Department Of Neurosurgery Chukyo Hospital
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Nakashima Yasuhiro
Department Of Cardiovascular Medicine Kyoto University Graduate School Of Medicine
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Shibuya Masato
Department Of Forest Science Faculty Of Agriculture Hokkaido University
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Nakashima Yasuhiro
Department Of Cardiology Hyogo Prefectural Amagasaki Hospital
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Nakashima Yasuhiro
Department Of Neurosurgery Chukyo Hospital
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Ikeda Akira
Department Of 1st Anatomy School Of Medicine Hiroshima University
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SHIBUYA Masato
Department of Neurosurgery, Chukyo Hospital
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