Effect of botulinum toxin type A on non-motor symptoms and quality of life in Meige syndrome

BackgroundIt has been shown in previous studies that botulinum toxin type A (BTX-A) can effectively relieve the motor symptoms of Meige syndrome. However, its effect on non-motor symptoms (NMS) and quality of life (QoL) has not been comprehensively studied. This study aimed to explore the effects of...

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Main Authors: Heqing Zheng, Lanxiang Wu, Sheng Tian, Mingxu Liu, Qingqing Zhan, Xinping Yu, Yonggang Xie, Xianhui Zhong, Wei Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1115482/full
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author Heqing Zheng
Lanxiang Wu
Sheng Tian
Mingxu Liu
Qingqing Zhan
Xinping Yu
Yonggang Xie
Xianhui Zhong
Wei Wu
author_facet Heqing Zheng
Lanxiang Wu
Sheng Tian
Mingxu Liu
Qingqing Zhan
Xinping Yu
Yonggang Xie
Xianhui Zhong
Wei Wu
author_sort Heqing Zheng
collection DOAJ
description BackgroundIt has been shown in previous studies that botulinum toxin type A (BTX-A) can effectively relieve the motor symptoms of Meige syndrome. However, its effect on non-motor symptoms (NMS) and quality of life (QoL) has not been comprehensively studied. This study aimed to explore the effects of BTX-A on NMS and QoL and to clarify the relationship between changes in motor symptoms, NMS, and QoL after BTX-A.MethodsSeventy-five patients were recruited for the study. All patients were assessed by a series of clinical assessments before, one, and 3 months after BTX-A treatment. Dystonic symptoms, psychiatric disturbances, sleep disorders, and QoL were evaluated.ResultsAfter 1 and 3 months of BTX-A treatment, the scores of motor symptoms, anxiety, and depression were significantly decreased (P < 0.05). Except for general health, the scores of the other 36-item short-form health survey QoL subitems were significantly improved after BTX-A (P < 0.05). After 1 month of treatment, the changes in anxiety and depression were not correlated with changes in motor symptoms (P > 0.05). Still, they were negatively correlated with changes in physical functioning, role-physical and mental component summary QoL (P < 0.05).ConclusionsBTX-A effectively improved motor symptoms, anxiety, depression, and QoL. Anxiety and depression improvement did not correlate with motor symptom changes after BTX-A, and QoL improvements were strongly associated with psychiatric disturbances.
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spelling doaj.art-6ab13638f2a3440382ea4429d4e381962023-02-09T10:13:11ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-02-011410.3389/fneur.2023.11154821115482Effect of botulinum toxin type A on non-motor symptoms and quality of life in Meige syndromeHeqing ZhengLanxiang WuSheng TianMingxu LiuQingqing ZhanXinping YuYonggang XieXianhui ZhongWei WuBackgroundIt has been shown in previous studies that botulinum toxin type A (BTX-A) can effectively relieve the motor symptoms of Meige syndrome. However, its effect on non-motor symptoms (NMS) and quality of life (QoL) has not been comprehensively studied. This study aimed to explore the effects of BTX-A on NMS and QoL and to clarify the relationship between changes in motor symptoms, NMS, and QoL after BTX-A.MethodsSeventy-five patients were recruited for the study. All patients were assessed by a series of clinical assessments before, one, and 3 months after BTX-A treatment. Dystonic symptoms, psychiatric disturbances, sleep disorders, and QoL were evaluated.ResultsAfter 1 and 3 months of BTX-A treatment, the scores of motor symptoms, anxiety, and depression were significantly decreased (P < 0.05). Except for general health, the scores of the other 36-item short-form health survey QoL subitems were significantly improved after BTX-A (P < 0.05). After 1 month of treatment, the changes in anxiety and depression were not correlated with changes in motor symptoms (P > 0.05). Still, they were negatively correlated with changes in physical functioning, role-physical and mental component summary QoL (P < 0.05).ConclusionsBTX-A effectively improved motor symptoms, anxiety, depression, and QoL. Anxiety and depression improvement did not correlate with motor symptom changes after BTX-A, and QoL improvements were strongly associated with psychiatric disturbances.https://www.frontiersin.org/articles/10.3389/fneur.2023.1115482/fullMeige syndromenon-motor symptomsbotulinum toxinpsychiatric disturbancesquality of life
spellingShingle Heqing Zheng
Lanxiang Wu
Sheng Tian
Mingxu Liu
Qingqing Zhan
Xinping Yu
Yonggang Xie
Xianhui Zhong
Wei Wu
Effect of botulinum toxin type A on non-motor symptoms and quality of life in Meige syndrome
Frontiers in Neurology
Meige syndrome
non-motor symptoms
botulinum toxin
psychiatric disturbances
quality of life
title Effect of botulinum toxin type A on non-motor symptoms and quality of life in Meige syndrome
title_full Effect of botulinum toxin type A on non-motor symptoms and quality of life in Meige syndrome
title_fullStr Effect of botulinum toxin type A on non-motor symptoms and quality of life in Meige syndrome
title_full_unstemmed Effect of botulinum toxin type A on non-motor symptoms and quality of life in Meige syndrome
title_short Effect of botulinum toxin type A on non-motor symptoms and quality of life in Meige syndrome
title_sort effect of botulinum toxin type a on non motor symptoms and quality of life in meige syndrome
topic Meige syndrome
non-motor symptoms
botulinum toxin
psychiatric disturbances
quality of life
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1115482/full
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