Heinzlef O, Monteil-Roch I
Service de Neurologie, Hôpital Poissy-Saint-Germain-en-Laye, 20 Rue Armagis, 78100 Saint-Germain-en-Laye, France.
Rev Neurol (Paris). 2012 Apr;168 Suppl 3:S62-8. doi: 10.1016/S0035-3787(12)70049-8.
The medicinal treatment of spasticity includes use of oral treatments (baclofène and tizanidine), botulinum toxin, intrathecal baclofène and local application of alcohol or phenol. However, spasticity may not be uncomfortable and may even be useful. Therefore, all spastic diseases do not systematically require treatment. First-line treatments (oral treatments and botulinum toxin) can be considered depending on the local or diffuse nature of the spasticity and depending on the etiology.
痉挛的药物治疗包括使用口服药物(巴氯芬和替扎尼定)、肉毒杆菌毒素、鞘内注射巴氯芬以及局部应用酒精或苯酚。然而,痉挛可能并无不适,甚至可能有益。因此,并非所有痉挛性疾病都需要系统性治疗。可根据痉挛的局部或弥漫性质以及病因考虑一线治疗(口服药物和肉毒杆菌毒素)。