Article

Spastic hemiplegia is a common sequela of stroke. Spasticity that is not
optimally reduced with systemic therapy is often treated with intramuscular
botulinum toxin injections. Spastic tone can increase the difficulty of
appropriately positioning the patient for botulinum toxin injections, lengthen
procedure duration, and increase periprocedural pain.
Our patient, a 53-year-old
woman, was unable to be adequately positioned to receive botulinum toxin
injections to her left upper extremity because of challenging flexion synergy
posturing and related positional pain. A left interscalene brachial plexus local
anesthetic block administered under ultrasound guidance was used to produce both
temporary dense muscle relaxation and profound anesthesia, facilitating
successful and comfortable botulinum toxin injections in this patient.
CI - Copyright (c) 2016 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS