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Peri-Incisional Botulinum Toxin for Chronic Postcraniotomy Headache After Traumatic Brain Injury

MACKENZIE HM; TEASELL R; MILLER TA; SEQUEIRA K
PM & R , 2015, vol. 7, n° 7, p. 785-788
Doc n°: 176908
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2015.02.015
Descripteurs : AF3 - TRAUMATISME CRANIEN

Botulinum neurotoxin (BoNT) has been used successfully to treat primary headache
syndromes, but there are no published data on its use for chronic postcraniotomy
headache. Botulinum neurotoxin type A (BoNT-A) (4:1 dilution) was injected at a
dose of 15-50 units into peri-incisional sites of the scalp
in 3 patients who had
undergone craniotomy remotely for traumatic epidural hematoma. All patients
reported reductions in headache lasting at least 2.5 months. Repeat injections
were performed in all cases with favorable outcomes.
There were no complications.
Peri-incisional BoNT-A appears to be a potentially valuable tool in the chronic
management of post craniotomy headache after traumatic brain injury.
CI - Copyright (c) 2015 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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