본문 바로가기
KERD
논문KCI 등재

Obturator Nerve Block with Botulinum Toxin Type B for Patient with Adductor Thigh Muscle Spasm -A Case Report-

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

Obturator nerve block has been commonly used for pain management to prevent involuntary reflex of the adductor thigh muscles. One of several options for this block is chemical neurolysis. Neurolysis is done with chemical agents. Chemical agents used in the neurolysis of the obturator nerve have been alcohol, phenol, and botulinum toxin. In the current case, a patient with spasticity of the adductor thigh muscle due to cervical cord injury had obturator nerve neurolysis done with botulinum toxin type B (BoNT-B). Most of the previous studies have used BoNT-A with only a few reports that have used BoNT-B. BoNT-B has several advantages and disadvantages over BoNT-A. Thus, we report herein a patient who successfully received obturator nerve neurolysis using BoNT-B to treat adductor thigh muscle spasm. (Korean J Pain 2011; 24: 164-168)

Abstract

Obturator nerve block has been commonly used for pain management to prevent involuntary reflex of the adductor thigh muscles. One of several options for this block is chemical neurolysis. Neurolysis is done with chemical agents. Chemical agents used in the neurolysis of the obturator nerve have been alcohol, phenol, and botulinum toxin. In the current case, a patient with spasticity of the adductor thigh muscle due to cervical cord injury had obturator nerve neurolysis done with botulinum toxin type B (BoNT-B). Most of the previous studies have used BoNT-A with only a few reports that have used BoNT-B. BoNT-B has several advantages and disadvantages over BoNT-A. Thus, we report herein a patient who successfully received obturator nerve neurolysis using BoNT-B to treat adductor thigh muscle spasm. (Korean J Pain 2011; 24: 164-168)

참고문헌 (20)

  1. O'Brien CF, "Treatment of spasticity with botulinum toxin", Clin J Pain, 18(6), pp.S182~S190 (2002)
  2. Chou R, "Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review", J Pain Symptom Manage, 28, pp.140~175 (2004)
  3. Dressler D, "Botulinum toxin: mechanisms of action", Eur Neurol, 53, pp.3~9 (2005)
  4. Calderón-González R, "Clinical treatment (non surgical) of spasticity in cerebral palsy", Rev Neurol, 34, pp.1~6 (2002)
  5. Ashworth B, "Preliminary trial of carisoprodol in multiple sclerosis", Practitioner, 192, pp.540~542 (1964)
  6. Scott AB, "Botulinum toxin injection into extraocular muscles as an alternative to strabismus surgery", Ophthalmology, 87, pp.1044~1049 (1980)
  7. Truong DD, "Current clinical applications of botulinum toxin", Curr Pharm Des, 15, pp.3671~3680 (2009)
  8. Grunfeld A, "Botulinum toxin for hyperhidrosis: a review", Am J Clin Dermatol, 10, pp.87~102 (2009)
  9. Kharkar S, "Schwartzman RJ. Intramuscular botulinum toxin A (BtxA) in complex regional pain syndrome", Pain Physician, 14, pp.311~316 (2011)
  10. Su Jin Lim, "Ganglion Impar Block With Botulinum Toxin Type A for Chronic Perineal Pain -A Case Report", The Korean Journal of Pain, 23(1), pp.65~69 (2010), 대한통증학회
  11. Aoki KR, "Pharmacology and immunology of botulinum toxin type A", Clin Dermatol, 21, pp.476~480 (2003)
  12. Comella CL, "Comparison of botulinum toxin serotypes A and B for the treatment of cervical dystonia", Neurology, 65, pp.1423~1429 (2005)
  13. Greene P, "Development of resistance to botulinum toxin type A in patients with torticollis", Mov Disord, 9, pp.213~217 (1994)
  14. Factor SA, "Efficacy and safety of repeated doses of botulinum toxin type B in type A resistant and responsive cervical dystonia", Mov Disord, 20, pp.1152~1160 (2005)
  15. Callaway JE, "Botulinum toxin type B (Myobloc): pharmacology and biochemistry", Clin Dermatol, 22, pp.23~28 (2004)
  16. Akkaya T, "Neurolytic phenol blockade of the obturator nerve for severe adductor spasticity", Acta Anaesthesiol Scand, 54, pp.79~85 (2010)
  17. Al-Saleem FH, "The role of systemic handling in the pathophysiologic actions of botulinum toxin", J Pharmacol Exp Ther, 326, pp.856~863 (2008)
  18. Figgitt DP, "Botulinum toxin B: a review of its therapeutic potential in the management of cervical dystonia", Drugs, 62, pp.705~722 (2002)
  19. Callaway JE, "Botulinum toxin type B: an overview of its biochemistry and preclinical pharmacology", Semin Cutan Med Surg, 20, pp.127~136 (2001)
  20. Ward A, "Cost-effectiveness of botulinum toxin type a in the treatment of post-stroke spasticity", J Rehabil Med, 37, pp.252~257 (2005)

관련 논문AI추천

이 간행물의 다른 논문 (7건)