Injections of botulinum toxin A into the salivary glands improve sialorrhoea in amyotrophic lateral sclerosis

被引:145
作者
Giess, R
Naumann, M
Werner, E
Riemann, R
Beck, M
Puls, I
Reiners, C
Toyka, KV
机构
[1] Univ Wurzburg, Dept Neurol, D-97080 Wuerzburg, Germany
[2] Univ Wurzburg, Dept Nucl Med, D-97080 Wuerzburg, Germany
[3] Univ Wurzburg, Dept Otorhinolaryngol, D-97080 Wuerzburg, Germany
关键词
ALS; sialorrhoea; salivary glands; botulinum toxin A;
D O I
10.1136/jnnp.69.1.121
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Sialorrhoea is a socially disabling problem in bulbar amyotrophic lateral sclerosis (ALS). Botulinum toxin A (BoNT/A) was injected into the salivary glands in five patients with bulbar ALS and sialorrhoea. The effect of BoNT/A was measured by the number of paper handkerchiefs used each day and by salivary gland scintigraphy. BoNT/A ameliorated sialorrhoea and quality of life without major adverse effects. BoNT/A may be a relatively safe and effective treatment for sialorrhoea in selected patients.
引用
收藏
页码:121 / 123
页数:3
相关论文
共 10 条
[1]   BOTULINUM NEUROTOXIN-A SELECTIVELY CLEAVES THE SYNAPTIC PROTEIN SNAP-25 [J].
BLASI, J ;
CHAPMAN, ER ;
LINK, E ;
BINZ, T ;
YAMASAKI, S ;
DECAMILLI, P ;
SUDHOF, TC ;
NIEMANN, H ;
JAHN, R .
NATURE, 1993, 365 (6442) :160-163
[2]   Sialorrhea in amyotrophic lateral sclerosis: A hypothesis of a new treatment - Botulinum toxin A injections of the parotid glands [J].
Bushara, KO .
MEDICAL HYPOTHESES, 1997, 48 (04) :337-339
[3]   EFFECT OF BOTULINUM TOXIN ON CHOLINE-ACETYLTRANSFERASE ACTIVITY IN SALIVARY-GLANDS OF CATS [J].
EKSTROM, J ;
KEMPLAY, SK ;
GARRETT, JR ;
DUCHEN, LW .
EXPERIENTIA, 1977, 33 (11) :1458-1460
[4]   Immunohistochemical and morphometric investigations of the influence of botulinum toxin on the submandibular gland of the rat [J].
Ellies, M ;
Laskawi, R ;
Götz, W ;
Arglebe, C ;
Tormählen, G .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 1999, 256 (03) :148-152
[5]   DERMATOLOGY LIFE QUALITY INDEX (DLQI) - A SIMPLE PRACTICAL MEASURE FOR ROUTINE CLINICAL USE [J].
FINLAY, AY ;
KHAN, GK .
CLINICAL AND EXPERIMENTAL DERMATOLOGY, 1994, 19 (03) :210-216
[6]   Botulinum toxin in the treatment of neurological disorders of the autonomic nervous system [J].
Naumann, M ;
Jost, WH ;
Toyka, KV .
ARCHIVES OF NEUROLOGY, 1999, 56 (08) :914-916
[7]   Botulinum toxin for palmar hyperhidrosis [J].
Naumann, M ;
Flachenecker, P ;
Brocker, EB ;
Toyka, KV ;
Reiners, K .
LANCET, 1997, 349 (9047) :252-252
[8]  
Rose F C, 1987, Adv Exp Med Biol, V209, P167
[9]   Botulinum toxin decreases salivation from canine submandibular glands [J].
Shaari, CM ;
Wu, BL ;
Biller, HF ;
Chuang, SK ;
Sanders, I .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1998, 118 (04) :452-457
[10]  
SPIEGEL W, 1984, NUKLEARMEDIZIN, P453