Iatrogenic Botulism After Intramuscular Injection of Botulinum Toxin Type A.
- Author:
Joon Sang YOO
1
;
Il Nam SUNWOO
;
Ha Young SHIN
;
Hye Sun KOH
;
Byoung Seok YE
;
Seung Min KIM
Author Information
1. Department of Neurology, Yonsei University College of Medicine, Seoul, Korea. kimsm@yuhs.ac
- Publication Type:Case Report
- Keywords:
Iatrogenic botulism;
Repetitive nerve stimulation test
- MeSH:
Action Potentials;
Botulinum Toxins;
Botulinum Toxins, Type A;
Botulism;
Cosmetics;
Deglutition Disorders;
Facial Nerve;
Female;
Humans;
Injections, Intramuscular;
Middle Aged;
Muscles
- From:Journal of the Korean Neurological Association
2010;28(1):47-49
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Botulinum toxin type A (BTA) is widely used for both medical treatment and cosmetic purposes. A 46-year-old woman presented with progressive generalized weakness and dysphagia. The patient had injected BTA into her both of her calves by herself for cosmetic purposes. Repetitive nerve stimulation of the right facial nerve demonstrated reduced compound muscle action potential amplitudes of the orbicularis oculi and nasalis muscles, and a reduced response to low-frequency, repetitive stimulation. The possibility of iatrogenic botulism should be considered when using BTA.