title: Pain and remote weakness in limbs injected with botulinum toxin A for writer's cramp.
abstract: 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.
authors.affiliation: National Hospital for Neurology and Neurosurgery, London, UK.
authors.forename: G L
authors.initials: GL
authors.lastname: Sheean
authors.forename: N M
authors.initials: NM
authors.lastname: Murray
authors.forename: C D
authors.initials: CD
authors.lastname: Marsden
mesh_terms: D000328:Adult; D001905:Botulinum Toxins / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D020968:Brachial Plexus Neuritis / Q000209:etiology*; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D008875:Middle Aged; D009120:Muscle Cramp / Q000628:therapy*; D010146:Pain / Q000209:etiology*; D012782:Shoulder
chemical_list: D001905:Botulinum Toxins