Yelnik Alain P, Colle Florence M C, Bonan Isabelle V
Physical Medicine and Rehabilitation Department, GH Lariboisière-F Widal, Paris, France.
Eur Neurol. 2003;50(2):91-3. doi: 10.1159/000072505.
Three poststroke hemiplegic patients were treated by injecting Botulinum toxin A (BtxA) into the subscapularis muscle, to reduce pain and increase the range of motion in the shoulder. According to the described procedure, 250 units of Dysport toxin were injected through a 0.8-mm diameter needle with electrostimulation guidance. In the 3 cases, injection of BtxA reduced pain and improved the range of motion, especially abduction and external rotation, of the hemiplegic shoulder. This result confirms the role of spasticity in hemiplegic shoulder pain and the beneficial effects of Botulinum toxin injection into the subscapularis muscle deserve to be confirmed in further series.
三名中风后偏瘫患者接受了将A型肉毒杆菌毒素（BtxA）注射到肩胛下肌的治疗，以减轻疼痛并增加肩部活动范围。根据所描述的程序，通过直径0.8毫米的针头在电刺激引导下注射250单位的Dysport毒素。在这3例病例中，注射BtxA减轻了疼痛，改善了偏瘫肩部的活动范围，尤其是外展和外旋。这一结果证实了痉挛在偏瘫肩部疼痛中的作用，并且将肉毒杆菌毒素注射到肩胛下肌的有益效果值得在更多病例中得到证实。
