[Neurotaping: new therapeutic approach in essential blepharospasm].
نویسندگان
چکیده
Essential blepharospasm is a focal dystonia characterized by the involuntary and obliged closure of the eyes secondary to the contraction of the orbicular muscle and/or a dysfunction of the upper eyelid elevator muscle. The etiology of blepharospasm, which is more frequent in women between the fifth and seventh decade of life, is as yet unknown. Its diagnosis requires an in-depth ophthalmological and neurological assessment to discard alterations of the ocular surface or neurological alterations such as the Meige syndrome and other dystonia−and/or side effects of anti-Parkinson drugs or substitute hormonal therapy.1 Even though blepharospasm is difficult to control, botulin toxin injection in the orbicular and frontal muscles remains the gold standard for treatment. The main limitations of this treatment are the short duration of the effect (between 3 and 4 months), its progressive tolerance that requires increasing the frequency of injections and their dosage, without forgetting the invalidating side effects−ptosis, headache, etc. Myopexia of the orbicular to the frontal bone and myomectomy of the orbicular–with or without anchoring the upper eyelid elevator with tarsal straps–are supplementary techniques exhibiting highly variable efficacy andwhichmerely provide a partial solution to the problem.2 Neuromuscular taping (Kinesio® taping) is a functional therapy widely utilized by physiotherapists and rehabilitation physicians for treating muscular spasticity in patients with infantile brain palsy and for rehabilitating ischemic cerebrovascular accident sequels. Special bandages in the shape of adhesive tapes are placed over the area to be treated. They have pain killing and anti-inflammatory effects, improving perception and acting on muscular tone.3 We have treated three patients (two females, one male) with essential
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Comparison therapeutic effects of Ciprofloxacin, Silver nanoparticles and their combination in the treatment of Pseudomonas keratitis in rabbit: An experimental study
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متن کامل[Costs and efficacy of type A botulinum toxin for the treatment of essential blepharospasm and hemifacial spasm].
PURPOSE To evaluate the costs and efficacy of type A botulinum toxin in the treatment of essential blepharospasm and hemifacial spasm. METHODS Pacients with essential blepharospasm and hemifacial spasm had their files analyzed. All patients were treated with type A botulinum toxin (Dysport) between April 2002 and May 2004 at the Oculoplastic Clinics of "Santa Casa de São Paulo". Twenty-seven ...
متن کاملComparison therapeutic effects of Ciprofloxacin, Silver nanoparticles and their combination in the treatment of Pseudomonas keratitis in rabbit: An experimental study
Pseudomonas aeruginosa is one of the most common causes of keratitis. The current study was done to evaluate the therapeutic effects of antibacterial combinations with Silver nanoparticles (Ag-NPs) and Ciprofloxacin in experimental Pseudomonas keratitis. Sixty four New Zealand rabbits were prepared. All rabbits were randomly categorized into eight groups (each group containing eight rabbits): C...
متن کامل[Essential blepharospasm and hemifacial spasm: characteristic of the patient, botulinum toxin A treatment and literature review].
PURPOSE To evaluate the characteristics of the essential blepharospasm and hemifacial spasm patients and the feasible treatment with botulinum toxin A. METHODS Thirty-four essential blepharospasm or hemifacial spasm patients were evaluated according to gender, ocular complaint, time of disease, treatment outcome and complications. RESULTS Age median was 63 years and the mean was 61 years, w...
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ورودعنوان ژورنال:
- Archivos de la Sociedad Espanola de Oftalmologia
دوره 87 3 شماره
صفحات -
تاریخ انتشار 2012