Botulinum neurotoxin A: An unusual systemic effect
Katherine Howell, Paulo Selber, H Kerr Graham, Dinah Reddihough
JOURNAL OF PAEDIATRICS AND CHILD HEALTH | BLACKWELL PUBLISHING | Published : 2007
Systemic effects from Botulinum neurotoxin A are uncommon but can have serious consequences. We report the case of a boy with severe cerebral palsy who developed deterioration in respiratory and oromotor function following repeated injections of Botulinum neurotoxin A. Caution is needed in using this treatment in children with severe cerebral palsy and pseudobulbar palsy.