Skopljak-Salkica Ajla, Gabric Ivana, Jagic Mateja, Bejdic Nita, Biscevic Alma, Ahmedbegovic-Pjano Melisa
Eye Clinic Svjetlost, Sarajevo, Bosnia and Herzegovina.
Department of Ophthalmology, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia.
Med Arch. 2024;78(4):326-328. doi: 10.5455/medarh.2024.78.326-328.
Botulinum toxin (BoNT) type A, commonly known by its brand name Botox, has gained widespread recognition as a therapeutic intervention for conditions such as blepharospasm and hemifacial spasm. These conditions are classified as focal dystonias and are characterized by involuntary muscle contractions that can cause both functional disabilities and cosmetic concerns for those affected.
The primary aim of this study was to comprehensively assess the efficacy, safety, and tolerability profile of Botulinum toxin in a cohort of 21 patients, comprised of 16 individuals diagnosed with blepharospasm and 5 with hemifacial spasm.
Each patient underwent a series of Botox injections tailored to their specific condition and symptom severity. Following the administration of the treatment, participants were closely monitored over a six-month period to evaluate clinical outcomes and any potential adverse effects.
The treatment with Botulinum toxin resulted in a significant reduction in the frequency and intensity of involuntary muscle contractions in all participants. Furthermore, patients reported substantial improvements in their quality of life, indicating enhanced daily functioning and overall well-being. Notably, the treatment was generally well-tolerated, with only a few mild side effects, suggesting that adverse reactions were minimal and manageable.
The findings from this study bolster the evidence supporting the use of Botulinum toxin as an effective first-line treatment option for individuals suffering from both blepharospasm and hemifacial spasm. The promising results highlight its role in alleviating symptoms and improving the quality of life for patients affected by these challenging conditions.
A型肉毒杆菌毒素(BoNT),其商品名肉毒素(Botox)广为人知,已作为治疗诸如眼睑痉挛和半面痉挛等病症的一种治疗手段而获得广泛认可。这些病症被归类为局灶性肌张力障碍,其特征是肌肉不自主收缩,这会给受影响者带来功能障碍和外貌方面的问题。
本研究的主要目的是全面评估肉毒杆菌毒素在一组21例患者中的疗效、安全性和耐受性,这组患者包括16例被诊断为眼睑痉挛的个体和5例半面痉挛患者。
每位患者都接受了一系列根据其具体病情和症状严重程度量身定制的肉毒素注射。在给予治疗后,对参与者进行了为期六个月的密切监测,以评估临床结果和任何潜在的不良反应。
肉毒杆菌毒素治疗使所有参与者的肌肉不自主收缩频率和强度显著降低。此外,患者报告其生活质量有了大幅改善,表明日常功能和整体幸福感增强。值得注意的是,该治疗总体耐受性良好,只有少数轻微副作用,这表明不良反应最小且易于控制。
本研究结果支持了肉毒杆菌毒素作为患有眼睑痉挛和半面痉挛的个体的有效一线治疗选择的证据。这些有前景的结果凸显了其在缓解症状以及改善受这些具有挑战性病症影响的患者生活质量方面的作用。