title: Idiopathic foot dystonia treated with intramuscular phenol injection.
abstract: We describe a patient who developed involuntary, painless, dystonic contraction of the left foot on walking. The patient had been treated with botulinum toxin A without benefit. Examination showed that walking brought on a spasmodic twisting of the left foot, with extension and eversion of the ankle. The patient underwent an intramuscular phenol injection, which abolished the foot dystonia. This case suggests that intramuscular phenol treatment may be an alternative for patients where botulinum toxin was unable to relieve the dystonias.
authors.affiliation: Department of Neurology, The Catholic University of Korea, Kangnam St Mary Hospital, #505 Banpo-dong, Seochu-gu, Seoul, South Korea.
authors.forename: Joong-Seok
authors.initials: JS
authors.lastname: Kim
authors.forename: Kwang-Soo
authors.initials: KS
authors.lastname: Lee
authors.forename: Young-Jin
authors.initials: YJ
authors.lastname: Ko
authors.forename: Seok-Beum
authors.initials: SB
authors.lastname: Ko
authors.forename: Sung-Woo
authors.initials: SW
authors.lastname: Chung
mesh_terms: D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D004421:Dystonia / Q000188:drug therapy*; D005260:Female; D005528:Foot / Q000294:innervation*; D006801:Humans; D007273:Injections, Intramuscular; D008875:Middle Aged; D019800:Phenol / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D019800:Phenol; D019274:Botulinum Toxins, Type A