Treatment of oromandibular dystonia with botulinum toxin A improves apnea in a teenager with quadriplegic cerebral palsy: A case report-Reference-Cited by-同舟云学术

Treatment of oromandibular dystonia with botulinum toxin A improves apnea in a teenager with quadriplegic cerebral palsy: A case report

Published:2023-07-27 Issue: Volume: Page:1-5
ISSN:1874-5393
Container-title:Journal of Pediatric Rehabilitation Medicine
language:
Short-container-title:PRM

Author:

Roberts Jeremy¹,Tenaglia Amy²,Bellissimo Elisabeth²,Kim Heakyung³

Affiliation:

1. Children’s Hospital Colorado, Aurora, CO, USA

2. Columbia University Irving Medical Center, NewYork-Presbyterian Hospital, New York, NY, USA

3. University of Texas Southwestern Medical Center, Dallas, TX, USA

Abstract

This report describes a 15-year-old female with known spastic and dystonic quadriplegic cerebral palsy (CP), Gross Motor Function Classification System IV, and obstructive sleep apnea (OSA). She experienced decreased apneic episodes after receiving onabotulinumtoxin A (BoNT-A) injections for the treatment of oromandibular dystonia (OMD). After her OSA diagnosis, she initially received injections to the bilateral masseter and temporalis muscles with no effect on the frequency of nightly apneic episodes. Subsequently, the bilateral lateral pterygoid muscles were added and she was later noted to have fewer apneic episodes overnight. This case report describes the use of BoNT-A in the muscles of mastication for management of OMD and the ensuing improvement in OSA in a teenager with CP.

Publisher

IOS Press

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Pediatrics, Perinatology and Child Health

Reference7 articles.

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