Lester J, Alvarez-Resendiz GE, Klériga E, Videgaray F, Zambito G. Treatment with Botulinum Toxin for Refractory Fever Caused by Severe Spasticity: A Case Series.
Neurol Ther 2018;
7:155-159. [PMID:
29383493 PMCID:
PMC5990504 DOI:
10.1007/s40120-018-0092-1]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2017] [Indexed: 01/21/2023] Open
Abstract
Introduction
Brain and spinal cord injuries may cause very severe spasticity that occasionally may be associated with persistent fever.
Case Series
We present 14 patients with spasticity and persistent fever, treated with botulinum toxin type A. Their spasticity improved and the fever resolved within a period no greater than 48 h. In all cases, infectious and other non-infectious causes were ruled out.
Conclusions
When sustained tonic muscular activity is associated with a significant increase in body temperature and is refractory to the usual drugs used for hyperpyrexia, type A botulinum toxin may be an effective treatment option to control both spasticity and fever.
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