Hubert H. Fernandez, MD - Florida Society of Neurology

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Therapy• Pharmacotherapy– CNS active drugs• Anticholinergics• GABAergics (benzodiazepines, bacl<strong>of</strong>en, tizanidine)• Dopaminergics (DA agonists, DA antagonists, DA depletors)• Other (carbamazepine, alcohol, lithium, cannabinoids)– Local injections (Botulinum toxin)• Physical and supportive therapy– PT and orthopedic devices (bracing)– Repetitive transcranial magnetic stimulation– Patient and caregiver education and support• Surgical therapy– Peripheral denervation– Central• Ablative procedures (thalamotomy, pallidotomy)• DBS
Botox for the face:Blepharospasmsxxx xx x x xxx x x
Page 3 and 4: Common Indications forBotox• Dyst
Page 5 and 6: Main features of dystonia• relati
Page 7 and 8: Overflow Dystonia
Page 9 and 10: Sensory Trick
Page 11 and 12: Focal Dystonias• Cervical dystoni
Page 13 and 14: Cervical dystonia: tardive
Page 15 and 16: Blepharospasms
Page 17 and 18: Laryngeal Dystonia:adductor
Page 19 and 20: Focal Limb Dystonia
Page 21 and 22: Generalized Dystonia
Page 23 and 24: Secondary Dystonia:perinatal injury
Page 25 and 26: Dystonia in CBGD
Page 27: Dystonia in PSP
Page 31 and 32: Botox for HemifacialSpasmsxxxxxx
Page 33 and 34: Cervical Dystonia: : Whichmuscles t
Page 35 and 36: Laterocollis• Ipsilateral scalene
Page 37 and 38: Anterocollis• Bilateral SCM• Bi
Page 39 and 40: Head tremor• Main vscompensatorym
Page 41 and 42: Post-injectionexpectations• 70% g
Page 43 and 44: Example 1
Page 45 and 46: Example 3
Page 47 and 48: Materials Needed• 30G x ½” nee

Hubert H. Fernandez, MD - Florida Society of Neurology

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