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Severe Spastic Trismus without Generalized Spasticity after Unilateral Brain Stem Stroke

A 62-year-old female patient diagnosed with left brain stem stroke 2 months ago was admitted to our clinic for rehabilitation. She had no generalized spasticity on both extremities, but could open her mouth only approximately 2 mm between her upper and lower teeth due to severe trismus. On needle el...

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Autores principales: Seo, Jong-Hyun, Kim, Don-Kyu, Kang, Si Hyun, Seo, Kyung-Mook, Seok, Ju Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3309321/
https://www.ncbi.nlm.nih.gov/pubmed/22506250
http://dx.doi.org/10.5535/arm.2012.36.1.154
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author Seo, Jong-Hyun
Kim, Don-Kyu
Kang, Si Hyun
Seo, Kyung-Mook
Seok, Ju Won
author_facet Seo, Jong-Hyun
Kim, Don-Kyu
Kang, Si Hyun
Seo, Kyung-Mook
Seok, Ju Won
author_sort Seo, Jong-Hyun
collection PubMed
description A 62-year-old female patient diagnosed with left brain stem stroke 2 months ago was admitted to our clinic for rehabilitation. She had no generalized spasticity on both extremities, but could open her mouth only approximately 2 mm between her upper and lower teeth due to severe trismus. On needle electromyography, the left masseter muscle showed paradoxically increased muscle activity during mouth opening. We injected 50 units of type A botulinum toxin (Botox®) into the left masseter muscle, and 20 units into the left temporalis muscle with guidance of ultrasonography. The interincisal distance increased to 8 mm on the 3(rd) day after injection, and 9 mm on the 4(th) day. One month later, the interincisal distance increased to 14 mm. The increased interincisal distance was maintained for 13 months after injection, and the quality of hygienic care and compliance of oral stimulation therapy also improved.
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spelling pubmed-33093212012-04-04 Severe Spastic Trismus without Generalized Spasticity after Unilateral Brain Stem Stroke Seo, Jong-Hyun Kim, Don-Kyu Kang, Si Hyun Seo, Kyung-Mook Seok, Ju Won Ann Rehabil Med Case Report A 62-year-old female patient diagnosed with left brain stem stroke 2 months ago was admitted to our clinic for rehabilitation. She had no generalized spasticity on both extremities, but could open her mouth only approximately 2 mm between her upper and lower teeth due to severe trismus. On needle electromyography, the left masseter muscle showed paradoxically increased muscle activity during mouth opening. We injected 50 units of type A botulinum toxin (Botox®) into the left masseter muscle, and 20 units into the left temporalis muscle with guidance of ultrasonography. The interincisal distance increased to 8 mm on the 3(rd) day after injection, and 9 mm on the 4(th) day. One month later, the interincisal distance increased to 14 mm. The increased interincisal distance was maintained for 13 months after injection, and the quality of hygienic care and compliance of oral stimulation therapy also improved. Korean Academy of Rehabilitation Medicine 2012-02 2012-02-29 /pmc/articles/PMC3309321/ /pubmed/22506250 http://dx.doi.org/10.5535/arm.2012.36.1.154 Text en Copyright © 2012 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Seo, Jong-Hyun
Kim, Don-Kyu
Kang, Si Hyun
Seo, Kyung-Mook
Seok, Ju Won
Severe Spastic Trismus without Generalized Spasticity after Unilateral Brain Stem Stroke
title Severe Spastic Trismus without Generalized Spasticity after Unilateral Brain Stem Stroke
title_full Severe Spastic Trismus without Generalized Spasticity after Unilateral Brain Stem Stroke
title_fullStr Severe Spastic Trismus without Generalized Spasticity after Unilateral Brain Stem Stroke
title_full_unstemmed Severe Spastic Trismus without Generalized Spasticity after Unilateral Brain Stem Stroke
title_short Severe Spastic Trismus without Generalized Spasticity after Unilateral Brain Stem Stroke
title_sort severe spastic trismus without generalized spasticity after unilateral brain stem stroke
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3309321/
https://www.ncbi.nlm.nih.gov/pubmed/22506250
http://dx.doi.org/10.5535/arm.2012.36.1.154
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