Abstract
Painful neurogenic hypertrophy is a rare complication of radiation therapy. We report a 27-year-old woman with a history of adenoid cystic carcinoma of the submandibular gland presented with painful twitching of her left shoulder. Electrodiagnostic studies were consistent with a diagnosis of radiation-induced spinal accessory nerve hyperactivity. The patient failed conventional medical therapy. She was treated with an injection of botulinum toxin A, and within 1 month experienced significant relief of symptoms. We thus conclude that Botulinum toxin is a therapeutic option for the pain associated with radiation-induced peripheral nerve hyperactivity.
Original language | English (US) |
---|---|
Pages (from-to) | 135-137 |
Number of pages | 3 |
Journal | Journal of clinical neuromuscular disease |
Volume | 19 |
Issue number | 3 |
DOIs | |
State | Published - 2018 |
Keywords
- Botulinum toxin
- Neurogenic hypertrophy
- Radiation
ASJC Scopus subject areas
- Neurology
- Clinical Neurology