Botulinum toxin for motor disorders

Handb Clin Neurol. 2023:196:539-555. doi: 10.1016/B978-0-323-98817-9.00003-X.

Abstract

Botulinum neurotoxins are a group of biological toxins produced by the gram-negative bacteria Clostridium botulinum. After intramuscular injection, they produce dose-related muscle relaxation, which has proven useful in the treatment of a large number of motor and movement disorders. In this chapter, we discuss the utility of botulinum toxin treatment in three major and common medical conditions related to the dysfunction of the motor system, namely dystonia, tremor, and spasticity. A summary of the existing literature is provided along with different techniques of injection including those recommended by the authors.

Keywords: Botulinum neurotoxin; Botulinum toxin; Dystonia; Motor system; Spasticity; Tremor.

Publication types

  • Review

MeSH terms

  • Botulinum Toxins* / therapeutic use
  • Dystonia* / drug therapy
  • Dystonic Disorders*
  • Humans
  • Motor Disorders*
  • Movement Disorders* / drug therapy

Substances

  • Botulinum Toxins