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Surgical and Radiologic Anatomy
Erschienen in: Surgical and Radiologic Anatomy 8/2023

09.06.2023 | Original Article

Guidance in botulinum neurotoxin injection for lower extremity spasticity: Sihler’s staining technique

verfasst von: Hyewon Hu, Min Ho An, Hyung-Jin Lee, Kyu-Ho Yi

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 8/2023

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Abstract

Spasticity is a motor disease characterized by a velocity-dependent acceleration in muscle tone or tonic stretch reflexes linked to hypertonia. Lower limb spasticity has been successfully treated with botulinum neurotoxin; however, the injection sites have not been generalized. Sihler’s stain has been used to visualize intramuscular nerve distribution to guide botulinum neurotoxin injection. Sihler staining is a whole-mount nerve staining technique that allows visualization of nerve distribution and mapping of entire nerve supply patterns in skeletal muscle with hematoxylin-stained myelinated nerve fibers. This study reviewed and summarized previous lower extremity spasticity studies to determine the ideal injection site for botulinum neurotoxin.
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Metadaten
Titel
Guidance in botulinum neurotoxin injection for lower extremity spasticity: Sihler’s staining technique
verfasst von
Hyewon Hu
Min Ho An
Hyung-Jin Lee
Kyu-Ho Yi
Publikationsdatum
09.06.2023
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 8/2023
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-023-03178-9

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