학술논문

Severe Dysphagia After Botulinum Toxin B Injection to the Lower Limbs and Lumbar Paraspinal Muscles.
Document Type
Article
Source
American Journal of Physical Medicine & Rehabilitation. Dec2006, Vol. 85 Issue 12, p1011-1013. 3p.
Subject
*DEGLUTITION disorders
*BOTULINUM toxin
*CEREBRAL palsy
*LEG muscles
*LUMBAR vertebrae
*INTRAMUSCULAR injections
*SPASTIC paralysis
*VISION disorders
*HOARSENESS
*VOICE disorders
Language
ISSN
0894-9115
Abstract
The article highlights a case report of severe dysphagia in a 29-year-old woman with cerebral palsy after botulinum toxin B injection to her lower limbs and lumbar paraspinal muscles. Four days after the treatment, she developed difficulty swallowing accompanied by dry mouth, blurred vision, and voice hoarseness. She was hospitalized when her dysphagia worsen fifteen days after the injection. Bilateral vocal cord paresis revealed in the laryngoscopic evaluation made. A modified barium swallow test also showed delayed oral initiation, upper airway penetration, and no reflexive cough. She was improved spontaneously in the following days and was discharged 12 days later.