Evidence map›Paper›PMID 39591243›Full record

ArticleToxins2024

Complete Improvement of Severe Forearm Complex Regional Pain Syndrome with Six High-Dose Incobotulinumtoxin A Injections: Clinical Implications with Respect to the Literature.

Harald Hefter, Marek Moll, Sara Samadzadeh

Abstract readCase Reports
In one paragraph

Article in Toxins, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Harald HefterDepartment of Neurology, University of Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.ORCID 0000-0003-1069-7684
Marek MollDepartment of Neurology, University of Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.
Sara SamadzadehDepartment of Neurology, University of Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.ORCID 0000-0003-3593-1852

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is some evidence that injections of botulinum neurotoxin effectively reduce pain in complex regional pain syndromes (CRPSs). But no or little experience appears to exist for the application of incobotulinum neurotoxin type A (incoBoNT/A) in complex pain disorders. Here, a case of CRPS type I, characterized by severe symptoms in the left forearm is presented, showed significant continuous improvement following a series of six repetitive (painful) injections into the finger, hand, and forearm muscles of incoBoNT/A every 3 months, administered at declining doses varying between 500 and 100 U. Remarkably, this treatment regimen led to the complete resolution of pain, vaso- and sudomotor symptoms, and hand dystonia. This highlights the possible efficacy of incoBoNT/A in the treatment of CRPS and encourages the further exploration of incoBoNT/A's role in the successful management of complex pain disorders.

Indexed as

Botulinum Toxins, Type AForearmNeuromuscular AgentsAdultComplex Regional Pain SyndromesFemaleHumansInjections, IntramuscularMaleMiddle AgedReflex Sympathetic DystrophyTreatment OutcomeBotulinum Toxins, Type AincobotulinumtoxinANeuromuscular Agentsbotulinum toxincomplex regional pain syndromedystoniaincobotulinum neurotoxin type Alow antigenicity

Identifiers

PMID39591243
PMCPMC11597933

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.