2015, Number 3
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Arch Neurocien 2015; 20 (3)
Botulinum toxin type A in the treatment of sialorrhea in patients with Parkinson’s disease
Alvarado-Gutiérrez AY, Hernández-Franco J, Sánchez-Villavicencio I
Language: Spanish
References: 26
Page: 174-181
PDF size: 291.16 Kb.
ABSTRACT
Drooling is defined as excess saliva in the mouth that exceeds the margin of the lips. The injection of botulinum
toxin type A appears to be the safest as it offers a range of effectiveness up to 3 months.
Objectives: To study
whether low (75 units) of abobotoxina type in the parotid gland of patients with Parkinson’s disease and drooling,
dose is effective without the presence of adverse effects.
Methods: cross-sectional study in patients with drooling
scale clinical scale for Parkinson disease (SCS-PD), severity and frequency of salivation (DSFS), at the time of study
entry and at weeks 1, 2, 4 , 8, 12, 16.
Results: 6 patients were included in the study, with a mean age of 67.3 years,
11.8 years on average for developing Parkinson’s four years of suffering drooling. Analysis of decreasing an overall
score for SCS-PD from baseline to week 12, presents statistical significance (p = 0.0030) thus corroborating the
beneficial effect of the toxin for at least 3 months.
Conclusions: a dose of 75 units abobotoxina type A appears to be
suitable for symptom control without creating undesirable side effects start from the first week of the application
keeping up to 3 months after starting treatment.
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