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High-dose Botulinum Toxin Therapy: Safety, Benefit, and Endurance of Efficacy Cover

High-dose Botulinum Toxin Therapy: Safety, Benefit, and Endurance of Efficacy

Open Access
|Feb 2020

Figures & Tables

Table 1

Patient Demographics and Clinical Indications

Patient DemographicsClinical Indications for BoNT
Female sex, n (%)43 (63)Dystonia patients (n = 44)a
Age, mean (SD)60 (15)Cervical dystonia31
Education, mean (SD)14 (3)Upper extremity dystonia14
Mean duration of follow-up, months (SD)23 (20)Lower extremity dystonia14
Patients receiving DBS after BoNT, n (%)9 (13)Jaw opening/closing dystoniab7
Blepharospasmb6
Truncal dystonia2
Other indicationsb: migraine3
sialorrhea3
Spasticity patients (n = 24)
Focal upper extremity spasticity only9
Focal lower extremity spasticity only7
Combined8

Abbreviations: BoNT, Botulinum Neurotoxin Therapy; DBS, Deep Brain Stimulation; SD, Standard Deviation.

a 24 patients had primary/generalized dystonia and received injections for multiple body regions.

b Some patients with dystonia had additional indications for BoNT, such as chronic migraine, sialorrhea, blepharospasm, and oromandibular dystonia.

Table 2

Adverse Effects and Reasons for Discontinuing BoNT

Adverse effects reported after first therapy of OnaA > 400 UaReasons for patients discontinuing BoNT
Headache1Lost to follow-up13
Bruising3Passed away or transferred to hospice7
Dysphagia2Lack of benefit6
Muscle weakness3Moved away5
Head drop3Otherb3
Flu-like symptoms2Insurance barriers2
Side effects1
Received DBS1

Abbreviations: BoNT, Botulinum Neurotoxin Therapy; DBS, Deep Brain Stimulation; OnaA, Onabotulinum Toxin A.

a Three patients reported more than 1 AE, Adverse effect.

b Other reasons included functional movement disorder; transportation difficulties; patient no longer needed BoNT.

DOI: https://doi.org/10.5334/tohm.527 | Journal eISSN: 2160-8288
Language: English
Submitted on: Nov 23, 2019
Accepted on: Jan 15, 2020
Published on: Feb 27, 2020
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Shannon Y. Chiu, Bhavana Patel, Matthew R. Burns, Joseph Legacy, Aparna Wagle Shukla, Adolfo Ramirez-Zamora, Wissam Deeb, Irene A. Malaty, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.