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Case Reports
. 2022 Jul 1;101(7):e112-e114.
doi: 10.1097/PHM.0000000000002011. Epub 2022 Mar 15.

Ultrasound-Guided Botulinum Toxin Injection for the Treatment of Teres Major Fasciculations

Daniel M Cushman  1 , Andrea Carefoot, Mikayla R Rees
Affiliations
Case Reports

Ultrasound-Guided Botulinum Toxin Injection for the Treatment of Teres Major Fasciculations

Daniel M Cushman et al. Am J Phys Med Rehabil. .

Abstract

This case study presents a 31-yr-old male weightlifter without known neuromuscular disease who presented with 5 wks of atraumatic, constant fasciculations of his right teres major muscle without recent injury. Electromyography identified fasciculation potentials within the teres major and pronator teres, suggesting an acute C6 radiculopathy, although a cervical magnetic resonance imaging demonstrated no significant neuroforaminal stenosis. Trigger point injections and multiple medications failed to stop the fasciculations. Under electromyography and ultrasound guidance, he was focally injected with botulinum toxin to the teres major 10 wks from initial onset with subsequent complete resolution of the symptoms and no side effects.

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Conflict of interest statement

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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References

    1. Desai J, Swash M: Fasciculations: what do we know of their significance? J Neurol Sci 1997;152(suppl 1):S43–8
    1. Leite MA, Orsini M, de Freitas MR, et al.: Another perspective on fasciculations: when is it not caused by the classic form of amyotrophic lateral sclerosis or progressive spinal atrophy? Neurol Int 2014;6:5208
    1. Reed DM, Kurland LT: Muscle fasciculations in a healthy population. Arch Neurol 1963;9:363–7
    1. de Carvalho M, Swash M: Cramps, muscle pain, and fasciculations: not always benign? Neurology 2004;63:721–3
    1. Blexrud MD, Windebank AJ, Daube JR: Long-term follow-up of 121 patients with benign fasciculations. Ann Neurol 1993;34:622–5

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