2023, Número 1
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Invest Medicoquir 2023; 15 (1)
Tratamiento con toxina botulínica en pacientes con diagnóstico de espasmo hemifacial
Rodríguez LA, Maragoto RC, Maragoto PE, Gonzales GI, Gil NL
Idioma: Español
Referencias bibliográficas: 51
Paginas:
Archivo PDF: 217.16 Kb.
RESUMEN
Introducción. El espasmo hemifacial se caracteriza por las contracciones involuntarias y repetidas de los
músculos de una hemicara. La inyección de toxina botulínica se ha convertido en la primera opción de
tratamiento para esta entidad nosológica, hay una mayor sensibilidad a la toxina, debido al daño relativo
del nervio facial.
Objetivo. Describir las características clínicas y del tratamiento con toxina botulínica en un grupo de
pacientes.
Métodos. Se realizó un estudio descriptivo, longitudinal, en pacientes con espasmo hemifacial, que fueron
tratados con neurotoxina botulínica en el Centro Internacional de Restauración Neurológica, en La Habana,
Cuba, en el período comprendido entre los años 2009 y 2018. Se tomó una muestra no probabilística de 50
pacientes.
Resultados. La edad promedio de los pacientes fue de 67,79 ± 13,71 años. Se nota un predominio ligero
de los afectados de la hemicara izquierda, n=26 (52 %). Consideramos significativa la reducción del porciento
de deterioro funcional de manera general, así como la del valor máximo de la escala de severidad de Jankovic
de manera específica. La media de escala de mejoría fue de 2,92 y ± 0,94.
Conclusiones. Se observó un predominio de las edades entre 60 y 79 años. La edad de inicio fue de 51,97
±15,08 años. La escala de evaluación clínica del espasmo hemifacial de Martí, Tolosa y Alom aplicada a los
pacientes demostró la eficacia del tratamiento con toxina botulínica.
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