Use of phenol and botulinum toxin during a spasticity emergency
DOI:
https://doi.org/10.28957/rcmfr.v29n2a5Keywords:
Muscle Spasticit, Botulinum Toxin, Urgent Care, PhenolAbstract
Espasticity is a common symptom that impairs the quality of life, the activities of daily living and functionality in patients who suffers it. This case reports an 11-year-old female patient with spastic quadriplegia secondary to cerebral palsy. There was no improvement in the spasticity despite the use of baclofen and diazepam, which is why it required alternative treatment. Chemo denervation with botulinum toxin type A of 100U and neurolysis with phenol at 5% was used. The main outcomes were the functional limitation, functional independence measure, the analogous visual scale, the Penn and Ashworth scale, which were measured before, immediately after, and 5 days after the procedure. Bilateral brachial biceps, erector spinae, bilateral rectus femoris and vastus lateralis were involved, which produced deformation of the joints and compromised the patient’s posture, in which 440U was applied divided according to the muscles. In addition, the musculocutaneous nerve was blocked. When the procedure was started, both subjective and objective results in spasticity were quickly observed, which suggests a potential role in the combination of these two drugs in spastic quadriplegia secondary to cerebral palsy.
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