Case - Botulinum-A Toxin in the Treatment of Painful Post-Stroke Nocturnal Paroxysmal Dystonia Triggered by Periodic Limb Movements of Sleep: Case Report

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Botulinum-A Toxin in the Treatment of Painful Post-Stroke Nocturnal Paroxysmal Dystonia Triggered by Periodic Limb Movements of Sleep: Case Report

Presented by:	Arquivos de Neuro-Psiquiatria / Pedro A. Kowacs, Hélio A. Ghizoni Teive, Elcio J. Piovesan, Jorge A. Zavala and Lineu C. Werneck
Summary points:	A 79-year-old with mild post-stroke right hemiparesis presents with recurrent painful episodes of dystonia of the right lower limb, which disrupted her sleep and could be voluntarily triggered by extension of the right hallux. This case report describes the diagnostic investigations and treatment response. The authors discuss the clinical features of periodic limb movements of sleep and the mechanism of action of botulinum toxin type A in treating this patient's disorder.
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