Botulinum Toxin Treatment of Muscle Spasticity

THE MANAGEMENT OF SEVERE CHRONIC MUSCLE SPASTICITY IS ONE OF THE MAJOR CHALLENGES IN CLINICAL NEUROLOGICAL PRACTICE.TODAY. IT REQUIRES A SKILFUL EVALUATION OF THE PATIENT'S IMPAIRMENTS AND THEIR IMPACT ON MOTOR FUNCTION AND THE SETTING OF TREATMENT GOALS THAT ARE REALISTIC, MEANINGFUL TO THE PATIENT AND RELEVANT IN THAT PATIENT'S ENVIRONMENT AND SOCIAL CONTEXT. CLINICIANS HAVE MANY DRUGS AND OTHER TREATMENT MODALITIES AT THEIR DISPOSAL FOR THE MANAGEMENT OF SPASTICITY. HOWEVER, NONE OF THESE TREATMENTS IS ENTIRELY SATISFACTORY. THIS BOOK IS ABOUT THE LATEST ADDITION TO THE LIST OF ANTISPASTICITY AGENTS - BOTULINUM TOXIN. THE BOOK IS INTENDED TO BE A SHORT PRACTICAL GUIDE TO THE USE OF BOTULINUM TOXIN IN THE TREATMENT OF MUSCLE SPASTICITY. IT REVIEWS THE CLINICAL EFFICACY OF THIS TREATMENT, DESCRIBES THE INJECTION TECHNIQUES OF THE COMMONLY TREATED MUSCLE GROUPS AND MAKES RECOMMENDATIONS ON THE DOSE OF BOTULINUM TOXIN FOR INDIVIDUAL MUSCLES.