High doses of onabotulinumtoxinA in post-stroke spasticity: a retrospective analysis

J Neural Transm (Vienna). 2015 Sep;122(9):1283-7. doi: 10.1007/s00702-015-1384-6. Epub 2015 Feb 28.

Abstract

We retrospectively evaluated the efficacy and safety of high doses of onabotulinumtoxinA (from 600 to 800 units) in 26 patients affected by upper and/or lower limb post-stroke spasticity. They were assessed before, 30 and 90 days after treatment. We observed a significant muscle tone reduction and a significant functional improvement (assessed with the Disability Assessment Scale). No adverse events were reported. In our retrospective analysis the treatment with high doses of onabotulinumtoxinA showed to be effective and safe.

MeSH terms

  • Arm / physiopathology
  • Botulinum Toxins, Type A / administration & dosage*
  • Botulinum Toxins, Type A / adverse effects
  • Disability Evaluation
  • Female
  • Humans
  • Leg / physiopathology
  • Male
  • Middle Aged
  • Muscle Spasticity / drug therapy*
  • Muscle Spasticity / etiology
  • Muscle Spasticity / physiopathology*
  • Neuromuscular Agents / administration & dosage*
  • Neuromuscular Agents / adverse effects
  • Retrospective Studies
  • Stroke / complications
  • Stroke / drug therapy
  • Stroke / physiopathology*
  • Time Factors
  • Treatment Outcome

Substances

  • Neuromuscular Agents
  • Botulinum Toxins, Type A