Idiopathic foot dystonia treated with intramuscular phenol injection.
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.
Kim
Joong-Seok
JS
Department of Neurology, The Catholic University of Korea, Kangnam St Mary Hospital, #505 Banpo-dong, Seochu-gu, Seoul, South Korea.
Lee
Kwang-Soo
KS
Ko
Young-Jin
YJ
Ko
Seok-Beum
SB
Chung
Sung-Woo
SW
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
D019800:Phenol; D019274:Botulinum Toxins, Type A