Evidence map›Paper›PMID 41415520›Full record

ArticleClinical case reports2025

Upper Extremity Muscle Weakness Following Axillary Botox Injection With Sterile Water Reconstitution: A Case Report.

Pouria Chaghamirzayi, Javad Karimi Rozveh, Mohammad Azizmanesh, Mohammad Reza Maghsoudi

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical case reports, 2025. 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

4 authors.

Pouria ChaghamirzayiClinical Research Development Unit of Shahid Madani Hospital Alborz University of Medical Sciences Karaj Iran.ORCID https://orcid.org/0000-0002-0100-1190
Javad Karimi RozvehClinical Research Development Unit of Shahid Madani Hospital Alborz University of Medical Sciences Karaj Iran.
Mohammad AzizmaneshClinical Research Development Unit of Shahid Madani Hospital Alborz University of Medical Sciences Karaj Iran.
Mohammad Reza MaghsoudiDepartment of Emergency Medicine Alborz University of Medical Sciences Karaj Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe, unexpected pain during botulinum toxin injection is a critical red flag for reconstitution error. Using sterile water instead of normal saline may cause atypical, wider-spread effects like proximal muscle weakness, even at standard doses. Strict adherence to saline reconstitution is essential to prevent this complication.

Indexed as

axillaryBotoxcomplicationsmuscle weaknesssterile water

Identifiers

PMID41415520
PMCPMC12710089

What OpenQuestion holds

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Registered trials

None linked

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.