Abstract
A 6-year-old boy with Schwartz-Jampel syndrome and severe myotonia-induced blepharospasm and ptosis did not respond to botulinum toxin A injections in the orbicularis muscle. The clinical diagnosis was further supported by electromyography. Surgical management using a combination of techniques in one operation produced a satisfactory result for both function and appearance. Muscle biopsy was also done during surgery.
MeSH terms
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Blepharoplasty / methods*
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Blepharoptosis / drug therapy
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Blepharoptosis / etiology
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Blepharoptosis / surgery*
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Blepharospasm / drug therapy
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Blepharospasm / etiology
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Blepharospasm / surgery*
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Botulinum Toxins, Type A / administration & dosage*
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Child
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Humans
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Injections, Intramuscular
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Male
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Myotonia / complications*
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Myotonia / drug therapy
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Myotonia / pathology
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Neuromuscular Agents / administration & dosage*
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Oculomotor Muscles / pathology
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Oculomotor Muscles / surgery
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Osteochondrodysplasias / complications*
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Osteochondrodysplasias / drug therapy
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Osteochondrodysplasias / surgery
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Treatment Failure
Substances
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Neuromuscular Agents
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Botulinum Toxins, Type A