Sheean G L, Murray N M, Marsden C D
National Hospital for Neurology and Neurosurgery, London, UK.
Lancet. 1995 Jul 15;346(8968):154-6. doi: 10.1016/s0140-6736(95)91212-6.
We describe two cases of a syndrome resembling neuralgic amyotrophy that occurred in limbs injected with botulinum toxin for writer's cramp. In both cases, one of the injections was followed by pain and the next, 7-10 weeks later, by weakness. We believe that unexplained pain in the shoulder region after an injection of botulinum toxin contraindicates a second injection.
我们描述了两例在为书写痉挛注射肉毒杆菌毒素的肢体中出现类似神经性肌萎缩综合征的病例。在这两例中，一次注射后均出现疼痛，7至10周后出现无力。我们认为，注射肉毒杆菌毒素后肩部区域出现不明原因的疼痛表明禁忌进行第二次注射。
