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NEUROLOGY 2005;65:1306-1308
© 2005 American Academy of Neurology


Brief Communications

An open study of botulinum-A toxin treatment of trigeminal neuralgia

E. J. Piovesan, MD, H. G. Teive, MD, P. A. Kowacs, MD, M. V. Della Coletta, MD, L. C. Werneck, MD, PhD and S. D. Silberstein, MD, FACP

From the Headache Unit, Neurology Division, Internal Medicine Department, Hospital de Clinicas da Universidade Federal do Parana, Curitiba, Brazil (Drs. Piovesan, Teive, Kowacs, Della Coletta, and Werneck); and Jefferson Headache Center, Thomas Jefferson University Hospital, Philadelphia, PA (Dr. Silberstein).

Address correspondence and reprint requests to Dr. Elcio J. Piovesan, Headache Unit, Neurology Division, Internal Medicine Department, Hospital de Clinicas da Universidade Federal do Parana, Rua Joinvile—2526, Sao Jose dos Pinhais, PR Brazil 83020 000; e-mail: piovesan1{at}hotmail.com or piovesan{at}avalon.sul.com.br

Thirteen subjects with trigeminal neuralgia were treated with botulinum-A neurotoxin (BoNT/A) in an open-label pilot study. After BoNT/A, visual analog scale score, surface area of pain, and therapeutic coefficient were reduced in all patients and for all branch trigeminal nerves studied. Therefore, BoNT/A is an efficient treatment. There were no major side effects. A placebo-controlled clinical trial is needed to confirm these findings.


Disclosure: The authors report no conflicts of interest.

Received October 12, 2004. Accepted in final form July 8, 2005.


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Correspondence:

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An open study of botulinum-A toxin treatment of trigeminal neuralgia
Steven R Brenner
Neurology Online, 16 Jan 2006 [Full text]
An open study of botulinum-A toxin treatment of trigeminal neuralgia
Joanna M. Zakrzewska, et al.
Neurology Online, 16 Jan 2006 [Full text]
Reply from the Authors
Elcio Juliato Piovesan, et al.
Neurology Online, 16 Jan 2006 [Full text]
An open study of botulinum-A toxin treatment of trigeminal neuralgia
Bernhard Voller, et al.
Neurology Online, 16 Jan 2006 [Full text]



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