[Botulinum toxin and spinal cord injury].
OBJECTIVE
To realize a clarification about the interest of the use of botulinum toxin in spinal cord injured patients.


METHODS
Interrogation of Medline database (crossing of botulinum toxin and spinal cord injury). We have also analyzed data from R. Poincaré Hospital in 2001.


RESULTS
Three articles of the twenty-five selected, treated effectively of botulinum toxin effect in the limbs muscles of spinal cord injured patients.


CONCLUSIONS
There are some indications of botulinum toxin in spinal cord injured patients ASIA C and D when spasticity induce focal functional discomfort. Indications are exceptional for ASIA A and B patients. No study showed improvement of functional abilities after botulinum toxin injection in spinal cord injured patients. Published studies only covered small number of patients.
Ben Smaïl
D
D
Service de rééducation neurologique, hôpital R. Poincaré (AP-HP), 92380 Garches, France. djbensmail@yahoo.fr
Denys
P
P
Bussel
B
B
D018726:Anti-Dyskinesia Agents / Q000008:administration & dosage / Q000494:pharmacology*; D001905:Botulinum Toxins / Q000008:administration & dosage / Q000494:pharmacology*; D002986:Clinical Trials as Topic; D006801:Humans; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000209:etiology; D013119:Spinal Cord Injuries / Q000188:drug therapy*; D016896:Treatment Outcome
D018726:Anti-Dyskinesia Agents; D001905:Botulinum Toxins