A Novel Use of Regional Anesthesia for Spastic Hemiplegia Evaluation and Treatment: A Case Report

Spastic hemiplegia is a common sequela of stroke. Spasticity not optimally reduced with systemic therapy is often treated with intramuscular botulinum toxin injections. Spastic tone can increase the difficulty of appropriately positioning the patient for botulinum toxin injections, lengthen procedure duration, and increase peri-procedural pain. Our case is a 53-year-old female unable to be adequately positioned to receive botulinum toxin injections to her left upper extremity due to challenging flexion synergy posturing and related positional pain.
Source: PM and R - Category: Rehabilitation Authors: Source Type: research