The incidence and nature of dysphagia following botulinum toxin injections for torticollis
Whurr, R. and Bhatia, K.P. and Marsarei, A. and Lorch, Marjorie and Kingsley, D. and Pramstaller, P.P. and Srinivasan, A. and Marsden, C.D. (1999) The incidence and nature of dysphagia following botulinum toxin injections for torticollis. Journal of Medical Speech - Language Pathology 7 (3), pp. 195-207. ISSN 1065-1438.
A prospective study of 123 consecutive patients with spasmodic torticollis (ST) receiving botulinum toxin (BTX) investigated the incidence of dysphagia and other side effects by means of questionnaire. Eighty-one (66%) completed questionnaires. Of the 42 patients who did not respond, 38 reported no side effects on follow-up. Four were lost to follow-up. Dysphagia was reported by 12 patients (9.7%) onset averaged 5.4 days postinjection (range: 1 day-2 weeks). Duration averaged 10 days (range: 2 days-3 weeks). Videofluoroscopy conducted on 2 patients with reported severe problems swallowing both solids and liquids demonstrated 2 different forms of dysphagia, 2-weeks and 3-months postinjection. Dysphagia may be present prior to treatment in some cases of spasmodic torticollis (ST). Swallowing competence should be checked before treatment with BTX injections.
|School:||Birkbeck Schools and Departments > School of Social Sciences, History and Philosophy > Applied Linguistics and Communication|
|Date Deposited:||26 Sep 2011 14:11|
|Last Modified:||11 Oct 2016 13:50|
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