Toxina botulínica no tratamento do torcicolo espasmódico: uma meta-análise

Teixeira, Sérgio Carlos Morais; Alencar, Rubens de; Teixeira, Grauben Pfaltzgraff Coutinho

doi:10.1590/S0004-282X1994000200022

Resumos

Os autores fizeram uma meta-análise da literatura sobre o uso da toxina botulínica no tratamento do torcicolo espasmódico. Concluem que a toxina botulínica é uma medida terapêutica eficaz para a distonia cervical.

torcicolo espasmódico; distonia cervical; toxina botulínica; meta-análise

The authors made a meta-analysis of the results of botulinum toxin injection for the treatment of spasmodic torticollis. They concluded that botulinum toxin is effective for the treatment of cervical dystonia.

spasmodic torticollis; cervical dystonia; botulinum toxin; meta-analysis

Toxina botulínica no tratamento do torcicolo espasmódico: uma meta-análise

Botulinum toxin for the treatment of spasmodic torticollis: a meta-analysis

Sérgio Carlos Morais Teixeira^I; Rubens de Alencar^II; Grauben Pfaltzgraff Coutinho Teixeira^III

^IMédico Neurologista

^IIProfessor Adjunto de Clínica Médica da Faculdade de Medicina da Universidade Federal do Rio de Janeiro, Doutor em Medicina

^IIIProfessor Auxiliar de Clínica Médica da Faculdade de Medicina da Fundação Técnico-Educacional Souza Marques

RESUMO

Os autores fizeram uma meta-análise da literatura sobre o uso da toxina botulínica no tratamento do torcicolo espasmódico. Concluem que a toxina botulínica é uma medida terapêutica eficaz para a distonia cervical.

Palavras-chave: torcicolo espasmódico, distonia cervical, toxina botulínica, meta-análise.

SUMMARY

The authors made a meta-analysis of the results of botulinum toxin injection for the treatment of spasmodic torticollis. They concluded that botulinum toxin is effective for the treatment of cervical dystonia.

Key words: spasmodic torticollis, cervical dystonia, botulinum toxin, meta-analysis.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 31-julho-1993.

Estudo realizado na 9ª Enfermaria de Clínica Médica do Hospital Geral da Santa Casa da Misericórdia do Rio de Janeiro (Serviço do Prof. Dr. Eduardo Lopes Pontes

Dr. Sérgio Carlos Morais Teixeira - Rua Silva Pinto 49 / 213 - 20551-190 Rio de Janeiro RJ - Brasil.

1. Blackie JD, Lees AJ. Botulinum toxin treatment in spasmodic torticollis. J Neurol Neurosurg Psychiatry 1990, 53: 640-643.
2. Borodic GE, Mills L, Joseph M. Botulinum A toxin for the treatment of adult-onset spasmodic torticollis. Plast Reconstr Surg 1991 87: 285-289.
3. Cohen LG, Hallet M, Geller BD et al. Treatment of focal dystonias of the hand with botulinum toxin injections. J Neurol Neurosurg Psychiatry 1989, 52: 355-363.
4. Comelia CL, Buchman AS, Tanner CM et al. Botulinum toxin injection for spasmodic torticollis: increased magnitude of benefit with electromyographic assistance. Neurology 1992, 42: 878-882.
5. D'Costa DF, Abbott RJ. Low dose botulinum toxin in spasmodic torticollis. J R Soc Med 1991, 84: 650-651.
6. Elston JS. Botulinum toxin A in clinical medicine. J Physiol (Paris) 1990, 84: 285-289.
7. Gelb DJ, Lowestein DH, Aminoff MJ. Controlled trial of botulinum toxin injections in the treatment of spasmodic torticollis. Neurology 1989, 38: 80-84.
8. Greene P, Kang U, Fahn S et al. Double-blind placebo-controlled trial of botulinum toxin injections for the treatment of spasmodic torticollis. Neurology 1990, 40: 1213-1218.
9. Henry DA, Wilson A. Meta-analysis. Med J Aust 1992, 156: 1,31.
10. Jahanshahi M, Marsden CD. Psychological functioning before and after treatment of torticollis with botulinum toxin. J Neurol Neurosurg Psychiatry 1992, 55: 229-231.
11. Jankovic J, Schwartz K. Botulinum toxin injections for cervical dystonia. Neurology 1990, 40: 277-280.
12. Jedynak CP, De Saint Victor JF. Traitement du torticolis spasmodique par injections locales de toxine botulinique. Rev Neurol (Paris) 1990, 146: 440-443.
13. Lees AJ, Turjanski N, Rivest J et al. Treatment of cervical dystonia hand spasms and laryngeal dystonia with botulinum toxin. J Neurol 1990, 239: 1-4.
14. Lorentz IT, Subramaniam SS, Yiannikas C. Treatment of idiopathic torticollis with botulinum-A toxin: a pilot study of 19 patients. Med J Aust 1990, 152: 528-530.
15. Moore AP, Blumhardt LD. A double blind trial of botulinum toxin A in torticollis with one year follow up. J Neurol Neurosurg Psychiatry 1991,54:813-816.
16. Poewe W, Schelosky L, Kleedorfer B et al. Treatment of spasmodic torticollis with local injections of botulinum toxin. J Neurol 1992, 239: 21-25.
17. Rondot P, Bathien N. Dystonie. In Encycl Méd Chir Neurologic Paris: Editions Techniques, 1992.
18. Scott AB. Botulinum toxin injection into extraocular muscles as an alternative to strabismus surgery. Ophthalmology 1980, 87: 1044-1049.
19. Stell R, Thompson PD, Marsden CD. Botulinum toxin in torticollis. Neurology 1989, 39: 1403-1404.
20. Stell R, Thompson PD, Marsden CD. Botulinum toxin in spasmodic torticollis. J Neurol Neurosurg Psychiatry 1988, 51: 920-923.
21. Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Assessment: the clinical usefulness of botulinum toxin-A in treating neurologic disorders. Neurology 1990, 40: 1332-1336.
22. Tsui JKC, Eisen A, Stoessl AJ et al. Double-blind study of botulinum toxin in spasmodic torticollis. Lancet. 1986, 2: 245-246.

Datas de Publicação

Publicação nesta coleção
19 Jan 2011
Data do Fascículo
Jun 1994

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Blackie JD, Lees AJ. Botulinum toxin treatment in spasmodic torticollis. J Neurol Neurosurg Psychiatry 1990, 53: 640-643.

[2] 2. Borodic GE, Mills L, Joseph M. Botulinum A toxin for the treatment of adult-onset spasmodic torticollis. Plast Reconstr Surg 1991 87: 285-289.

[3] 3. Cohen LG, Hallet M, Geller BD et al. Treatment of focal dystonias of the hand with botulinum toxin injections. J Neurol Neurosurg Psychiatry 1989, 52: 355-363.

[4] 4. Comelia CL, Buchman AS, Tanner CM et al. Botulinum toxin injection for spasmodic torticollis: increased magnitude of benefit with electromyographic assistance. Neurology 1992, 42: 878-882.

[5] 5. D'Costa DF, Abbott RJ. Low dose botulinum toxin in spasmodic torticollis. J R Soc Med 1991, 84: 650-651.

[6] 6. Elston JS. Botulinum toxin A in clinical medicine. J Physiol (Paris) 1990, 84: 285-289.

[7] 7. Gelb DJ, Lowestein DH, Aminoff MJ. Controlled trial of botulinum toxin injections in the treatment of spasmodic torticollis. Neurology 1989, 38: 80-84.

[8] 8. Greene P, Kang U, Fahn S et al. Double-blind placebo-controlled trial of botulinum toxin injections for the treatment of spasmodic torticollis. Neurology 1990, 40: 1213-1218.

[9] 9. Henry DA, Wilson A. Meta-analysis. Med J Aust 1992, 156: 1,31.

[10] 10. Jahanshahi M, Marsden CD. Psychological functioning before and after treatment of torticollis with botulinum toxin. J Neurol Neurosurg Psychiatry 1992, 55: 229-231.

[11] 11. Jankovic J, Schwartz K. Botulinum toxin injections for cervical dystonia. Neurology 1990, 40: 277-280.

[12] 12. Jedynak CP, De Saint Victor JF. Traitement du torticolis spasmodique par injections locales de toxine botulinique. Rev Neurol (Paris) 1990, 146: 440-443.

[13] 13. Lees AJ, Turjanski N, Rivest J et al. Treatment of cervical dystonia hand spasms and laryngeal dystonia with botulinum toxin. J Neurol 1990, 239: 1-4.

[14] 14. Lorentz IT, Subramaniam SS, Yiannikas C. Treatment of idiopathic torticollis with botulinum-A toxin: a pilot study of 19 patients. Med J Aust 1990, 152: 528-530.

[15] 15. Moore AP, Blumhardt LD. A double blind trial of botulinum toxin A in torticollis with one year follow up. J Neurol Neurosurg Psychiatry 1991,54:813-816.

[16] 16. Poewe W, Schelosky L, Kleedorfer B et al. Treatment of spasmodic torticollis with local injections of botulinum toxin. J Neurol 1992, 239: 21-25.

[17] 17. Rondot P, Bathien N. Dystonie. In Encycl Méd Chir Neurologic Paris: Editions Techniques, 1992.

[18] 18. Scott AB. Botulinum toxin injection into extraocular muscles as an alternative to strabismus surgery. Ophthalmology 1980, 87: 1044-1049.

[19] 19. Stell R, Thompson PD, Marsden CD. Botulinum toxin in torticollis. Neurology 1989, 39: 1403-1404.

[20] 20. Stell R, Thompson PD, Marsden CD. Botulinum toxin in spasmodic torticollis. J Neurol Neurosurg Psychiatry 1988, 51: 920-923.

[21] 21. Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Assessment: the clinical usefulness of botulinum toxin-A in treating neurologic disorders. Neurology 1990, 40: 1332-1336.

[22] 22. Tsui JKC, Eisen A, Stoessl AJ et al. Double-blind study of botulinum toxin in spasmodic torticollis. Lancet. 1986, 2: 245-246.