Blefarospasmo essencial e espasmo hemifacial: Características dos pacientes, tratamento com toxina botulínica A e revisão da literatura

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Schellini, Silvana Artioli [UNESP]
Matai, Olívia [UNESP]
Igami, Thais Zamudio [UNESP]
Padovani, Carlos Roberto [UNESP]
Padovani, Carlos Pereira [UNESP]

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Purpose: To evaluate the characteristics of the essential blepharospasm and hemifacial spasm patients and the feasible treatment with botulinum toxin. A. Methods: Thirty-four essential blepharospasm or hemifacial spasm patients were evaluated according to gender, ocular complaint, time of disease, treatment outcome and complications. Results: Age median was 63 years and the mean was 61 years, with no difference regarding sex; 66.66% of the patients had hemifacial spasm and 33.33%, essential blepharospasm. Many patients complained of dry eye associated with involuntary spasm. Botulinum toxin A showed a positive outcome in 91.30% of the treated patients and complications observed after treatment were eyelid ptosis (8.33%) and buccal angle deviation (8.33%). Conclusion: Essential blepharospasm and hemifacial spasm occurred in the elderly, of both sexes. Treatment with botulinum toxin A was useful, with very low complication rates.



Action potentials, Blepharospasm/drug therapy, Botulinum toxin type A/therapeutic use, Hemifacial spasm/drug therapy, Oculomotor muscles, botulinum toxin A, adult, blepharospasm, cheek mucosa, clinical article, clinical feature, controlled study, dry eye, feasibility study, female, gender, hemifacial spasm, human, male, ptosis, review, treatment outcome, Adult, Aged, Blepharospasm, Botulinum Toxin Type A, Female, Hemifacial Spasm, Humans, Male, Middle Aged, Neuromuscular Agents, Treatment Outcome

Como citar

Arquivos Brasileiros de Oftalmologia, v. 69, n. 1, p. 23-26, 2006.