Abstract
Kadyan V, Clairmont AC, Engle M, Colachis SC. Severe trismus as a complication of
cerebrovascular accident: a case report.
Spastic hypertonia is a common sequelae after a cerebrovascular accident (CVA) and
is a component of an upper motoneuron lesion. Management of spastic hypertonia may
involve the use of centrally acting agents, peripheral blockade, and ablative therapies.
We report a case of spastic hypertonia leading to severe trismus after CVA that was
successfully treated with botulinum toxin type A. Severe trismus is a potentially
life-threatening condition that may lead to permanent functional impairment if not
promptly diagnosed and treated. Using electromyography for botulinum toxin muscle
selection in this case appears to have helped decrease the dose of botulinum toxin
given as well as minimize potential side effects.
Key words
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Article info
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the author(s) or on any organization with which the author(s) is/are associated.
Reprints are not available from the author.
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Copyright
© 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
