Department of Neurology, Oregon Health & Science University, Portland, OR, United States.
Department of Neurology, Yale University School of Medicine, New Haven, CT, United States.
Handb Clin Neurol. 2023;196:539-555. doi: 10.1016/B978-0-323-98817-9.00003-X.
Botulinum neurotoxins are a group of biological toxins produced by the gram-negative bacteria Clostridium botulinum. After intramuscular injection, they produce dose-related muscle relaxation, which has proven useful in the treatment of a large number of motor and movement disorders. In this chapter, we discuss the utility of botulinum toxin treatment in three major and common medical conditions related to the dysfunction of the motor system, namely dystonia, tremor, and spasticity. A summary of the existing literature is provided along with different techniques of injection including those recommended by the authors.
肉毒杆菌神经毒素是由革兰氏阴性菌肉毒梭菌产生的一组生物毒素。经肌肉注射后,它们会产生与剂量相关的肌肉松弛,这已被证明对治疗大量运动和运动障碍非常有用。在本章中,我们讨论了肉毒毒素治疗在与运动系统功能障碍相关的三种主要常见医疗状况中的应用,即肌张力障碍、震颤和痉挛。提供了现有文献的总结以及不同的注射技术,包括作者推荐的技术。