Lingual Dystonia Treated with Botulinum Toxin - A Case Report

Authors

  • MA Hayee Department of Neuromedicine, Sir Salimullah Medical College, Dhaka
  • QD Mohammad Department of Neuromedicine, Dhaka Medical College, Dhaka
  • H Rahman Department of Neuromedicine, Sir Salimullah Medical College, Dhaka
  • M Hakim Department of Neuromedicine, Sir Salimullah Medical College, Dhaka
  • SM Kibria Department of Neuromedicine, Sir Salimullah Medical College, Dhaka

DOI:

https://doi.org/10.3329/jbcps.v24i2.152

Keywords:

dystonic tongue, botulinium

Abstract

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

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Author Biographies

MA Hayee, Department of Neuromedicine, Sir Salimullah Medical College, Dhaka

Dr. MA Hayee, Associate Professor and Head, Department of Neuromedicine, Sir Salimullah Medical College, Dhaka.

QD Mohammad, Department of Neuromedicine, Dhaka Medical College, Dhaka

Prof. QD Mohammad, Professor and Head, Department of Neuromedicine, Dhaka Medical College, Dhaka.

H Rahman, Department of Neuromedicine, Sir Salimullah Medical College, Dhaka

Dr. H Rahman, Research Assistant, Department of Neuromedicine, Sir Salimullah Medical College, Dhaka.

M Hakim, Department of Neuromedicine, Sir Salimullah Medical College, Dhaka

Dr. M Hakim MD, Assistant Professor, Department of Neuromedicine, Sir Salimullah Medical College, Dhaka.

SM Kibria, Department of Neuromedicine, Sir Salimullah Medical College, Dhaka

Dr. SM Kibria, Research Assistant, Department of Neuromedicine, Sir Salimullah Medical College, Dhaka.

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How to Cite

Hayee, M., Mohammad, Q., Rahman, H., Hakim, M., & Kibria, S. (2007). Lingual Dystonia Treated with Botulinum Toxin - A Case Report. Journal of Bangladesh College of Physicians and Surgeons, 24(2), 75–78. https://doi.org/10.3329/jbcps.v24i2.152

Issue

Section

Case Reports