Can Movement Disorders Be Treated with Botox?

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Botulinum toxin, known as Botox, has been used as a treatment method in some movement disorders. Some movement disorders such as hemifacial spasm and blepharospasm can be treated with this technique.
Hemifacial Spasm (contraction in one hundred, twitch)
What is Hemifacial Spasm?
It is a discomfort caused by involuntary contraction or twitching in half of a face. It affects the eyelids, cheek and mouth corner. It may occur continuously or intermittently.
What are the Symptoms of Hemifacial Spasm?
Initially, patients complain that they are more likely to break one eye. Then the contraction of the upper and lower eyelid and withdrawal in the mouth corner are accompanied by contraction. Increases the intensity with excitement, distress, fatigue and the use of facial muscles (eg chewing, speaking, facial muscles, etc.). Patients with such complaints have recently had eyeglasses changes or if tooth extraction has been performed, indicating that their complaints have occurred accordingly. These conditions facilitate the emergence of symptoms.
Why is this disease occurring?
The exact cause is unknown. However, in some of the cases, anomalies in the veins close to the face can cause this disease.
Can Hemifacial Spasm be cured by Botox treatment?

Medical treatment is often inadequate. Botulinum toxin application results in more successful results.
Blepharospasm (involuntary contraction of the eyelids)

What is Blepharospasm Disease?

It is an intermittent or sustained bilateral involuntary contraction of the eye muscles.
What are the symptoms of blepharospasm?
In patients, the first complaints begin in one eye, and in this eye uneasiness, frequent clipping, burning, sensitivity to light occurs. Difficulties arise while watching television, reading things or driving. These complaints gradually increase and involuntary closure of the eyelids is observed in both eyes. Even if you are asked, eyes cannot be opened. In advanced cases, the eyes may remain closed. Patients can therefore refer to eye clinics. Blepharospasm (eye closure spasm), this situation usually increases with stress, sleep is lost. Bright light enhances eye closure spasms, so most patients use dark-colored glasses. Spasms may increase when they are looking up or down, talking, eating, laughing, singing. Blepharospasm is more common in women, and the incidence above 50 years of age increases. In some patients, the contraction of the facial and neck muscles can be added to the eyelids.
Why does blepharospasm occur?
Usually the cause is unclear, but some patients may have lesions in certain parts of the brain. These lesions often develop due to stroke, multiple sclerosis, brain involvement and surgical interventions. It may occur in patients with refractory contractions, Parkinson’s disease, pediatric patients and eye disease.
Can blepharospasm be treated with Botox?
Drug therapy is generally unresponsive and with Botox treatments, in the first period, goodness develops for 3 months.

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How is myoma treated?

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How is the diagnosis of myoma?
The diagnosis of uterine fibroids is usually performed by manual examination and ultrasound. Occasional magnetic resonance imaging (MRI) may be used. Blood tests have no place in the diagnosis of myoma.
It is not possible to eliminate or significantly reduce myomas by medical treatment methods. Medical treatment methods mostly aim to relieve the patient’s complaints. Patients with pain complaints are likely to benefit from painkillers, iron supplements from patients with anemia, various hormone preparations from patients with severe bleeding, hormone-containing spirals, or some medications that reduce bleeding.
How are myomas treated?
The definitive treatment of myomas is surgery. Laparotomy (open surgery), laparoscopic (closed surgery) or hysteroscopic (access to myomas in the intrauterine cavity through the vagina and a telescope entering the cervix) are available for surgical treatment. On the other hand, surgical treatment is not recommended for everyone. Patients who have a negative effect on their daily life and health and who do not respond to medication, are thought to be associated with the fibroids of pregnancy or having difficulty in having a child, or patients with suspicion about the possibility of cancer may be candidates for surgical treatment.

In surgery, only the fibroids are always taken, the rest of the uterus is not touched. However, it may be advisable to take the uterus in patients who do not intend to have a child, who have advanced age, or who have a difficult / impossible myomectomy.
Does the removal of myomas prevent the formation of the myomas again?
Once received, myomas do not guarantee that they will not occur once again. A new fibroid may occur again in another or nearby place.
Apart from these, with the help of an interventional radiological method called-uterine artery embolization ın, it can be ensured that the myoma can be reduced by the obstruction of the veins leading to the fibroids. This method can be applied to a group of patients with specific characteristics. It is not recommended for patients planning pregnancy.
Myomas are seen in very different place, size and shape. Similarly, each patient’s complaints, expectations, lifestyle and future plans are different. You can determine the most appropriate treatment by talking to your doctor.
This article Prepared by Engin Türkgeldi.
For detailed information, please contact our Obstetrics and Gynecology Department.

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