Oromandibular dystonia in Yemeni patients with khat chewing: a response to botulinum toxin treatment

Khat-(<em>Catha edulis</em>) related oromandibular dystonia is a difficult-to-treat subset of movement disorders that involve masticatory muscles with diverse and incapacitating manifestations. The aim of this study was to evaluate the efficacy of Botulinum toxin-type A therapy in khat c...

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Main Authors: Hatem S. Shehata, Mohamed S. El-Tamawy, Nevin Mohieldin, Mohammed Edrees, Saeed Bohlega
Format: Article
Language:English
Published: MDPI AG 2014-06-01
Series:Neurology International
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/ni/article/view/5385
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author Hatem S. Shehata
Mohamed S. El-Tamawy
Nevin Mohieldin
Mohammed Edrees
Saeed Bohlega
author_facet Hatem S. Shehata
Mohamed S. El-Tamawy
Nevin Mohieldin
Mohammed Edrees
Saeed Bohlega
author_sort Hatem S. Shehata
collection DOAJ
description Khat-(<em>Catha edulis</em>) related oromandibular dystonia is a difficult-to-treat subset of movement disorders that involve masticatory muscles with diverse and incapacitating manifestations. The aim of this study was to evaluate the efficacy of Botulinum toxin-type A therapy in khat chewer Yemeni patients with oromandibular dystonia. This prospective study included 18 khat-chewers Yemeni patients with refractory oromandibular dystonia, who were subjected to Botulinum toxin-A injection and followed up for 3 months thereafter. Primary efficacy outcome was the global impression scale, and secondary outcome measure was the Unified Dystonia Rating Scale. Patients showed improvement of both efficacy measures, maximum satisfactory responses were detected at the forth week after injection. No major adverse events were detected. Botulinum toxin-A is considered an effective and safe treatment option for refractory oromandibular dystonia in khat-chewers.
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spelling doaj.art-80ed2ed6ff4544cdabe6d8850c79faab2023-02-02T12:32:33ZengMDPI AGNeurology International2035-83852035-83772014-06-016210.4081/ni.2014.53852823Oromandibular dystonia in Yemeni patients with khat chewing: a response to botulinum toxin treatmentHatem S. Shehata0Mohamed S. El-Tamawy1Nevin Mohieldin2Mohammed Edrees3Saeed Bohlega4Department of Neurology, Cairo UniversityDepartment of Neurology, Cairo UniversityDepartment of Neurology, Cairo UniversityDepartment of Neurology, Cairo UniversityDepartment of Neurosciences, King Faisal Specialist Hospital and Research Centre, RiyadhKhat-(<em>Catha edulis</em>) related oromandibular dystonia is a difficult-to-treat subset of movement disorders that involve masticatory muscles with diverse and incapacitating manifestations. The aim of this study was to evaluate the efficacy of Botulinum toxin-type A therapy in khat chewer Yemeni patients with oromandibular dystonia. This prospective study included 18 khat-chewers Yemeni patients with refractory oromandibular dystonia, who were subjected to Botulinum toxin-A injection and followed up for 3 months thereafter. Primary efficacy outcome was the global impression scale, and secondary outcome measure was the Unified Dystonia Rating Scale. Patients showed improvement of both efficacy measures, maximum satisfactory responses were detected at the forth week after injection. No major adverse events were detected. Botulinum toxin-A is considered an effective and safe treatment option for refractory oromandibular dystonia in khat-chewers.http://www.pagepress.org/journals/index.php/ni/article/view/5385khat, oromandibular dystonia, Unified Dystonia Rating Scale, global impression scale, botulinum toxin
spellingShingle Hatem S. Shehata
Mohamed S. El-Tamawy
Nevin Mohieldin
Mohammed Edrees
Saeed Bohlega
Oromandibular dystonia in Yemeni patients with khat chewing: a response to botulinum toxin treatment
Neurology International
khat, oromandibular dystonia, Unified Dystonia Rating Scale, global impression scale, botulinum toxin
title Oromandibular dystonia in Yemeni patients with khat chewing: a response to botulinum toxin treatment
title_full Oromandibular dystonia in Yemeni patients with khat chewing: a response to botulinum toxin treatment
title_fullStr Oromandibular dystonia in Yemeni patients with khat chewing: a response to botulinum toxin treatment
title_full_unstemmed Oromandibular dystonia in Yemeni patients with khat chewing: a response to botulinum toxin treatment
title_short Oromandibular dystonia in Yemeni patients with khat chewing: a response to botulinum toxin treatment
title_sort oromandibular dystonia in yemeni patients with khat chewing a response to botulinum toxin treatment
topic khat, oromandibular dystonia, Unified Dystonia Rating Scale, global impression scale, botulinum toxin
url http://www.pagepress.org/journals/index.php/ni/article/view/5385
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