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Case Reports
. 1995 Jul 15;346(8968):154-6.
doi: 10.1016/s0140-6736(95)91212-6.

Pain and remote weakness in limbs injected with botulinum toxin A for writer's cramp

G L Sheean  1 , N M Murray, C D Marsden
Affiliations
Case Reports

Pain and remote weakness in limbs injected with botulinum toxin A for writer's cramp

G L Sheean et al. Lancet. .

Abstract

We describe two cases of a syndrome resembling neuralgic amyotrophy that occurred in limbs injected with botulinum toxin for writer's cramp. In both cases, one of the injections was followed by pain and the next, 7-10 weeks later, by weakness. We believe that unexplained pain in the shoulder region after an injection of botulinum toxin contraindicates a second injection.

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