title: Sonoelastography contribution in cerebral palsy spasticity treatment assessment, preliminary report: a systematic review of the literature apropos of seven patients.
abstract: This paper aims to present our experience of 7 cases of spastic children, using sonoelastography in assessing the muscle spasticity: the relaxed muscle structures appear mostly soft (green-yellow-red), while contracted or degenerated muscle fibers appear hard (blue). Using sonoelastographic findings we established the proper place for injecting the botulinum toxin (20 U/kg Dysport) into the affected muscle. The result was a precise, guided injection, with positive, therapeutic results. It is important consider several factors that can influence the evolution of the case: gray scale ultrasound appearance of the muscle, the patient age, the dosage and the fractionation of toxin.
authors.affiliation: Radiology Department, University of Medicine and Pharmacy "Iuliu Haţieganu", 8 V. Babeş Str., Cluj-Napoca, Romania. vasilescu.dan@umfcluj.ro
authors.forename: Dan
authors.initials: D
authors.lastname: Vasilescu
authors.forename: Dana
authors.initials: D
authors.lastname: Vasilescu
authors.forename: Sorin
authors.initials: S
authors.lastname: Dudea
authors.forename: Carolina
authors.initials: C
authors.lastname: Botar-Jid
authors.forename: Silviu
authors.initials: S
authors.lastname: Sfrângeu
authors.forename: Dan
authors.initials: D
authors.lastname: Cosma
mesh_terms: D001905:Botulinum Toxins / Q000627:therapeutic use; D002547:Cerebral Palsy / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D054459:Elasticity Imaging Techniques / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000473:pathology*; D011383:Progressive Patient Care
chemical_list: D001905:Botulinum Toxins