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NEUROLOGY 2006;67:1855-1856
© 2006 American Academy of Neurology
Brief Communications

Severe botulism after focal injection of botulinum toxin

N. Souayah, MD, H. Karim, MD, S. S. Kamin, MD, J. McArdle, MD and S. Marcus, MD

From Departments of Neurology (N.S., H.K., S.S.K.), Pharmacology (J.M.), and Preventive Medicine and Community Health (S.M.), New Jersey Medical School of the University of Medicine and Dentistry of New Jersey, Newark, NJ.

Address correspondence and reprint requests to Dr. Nizar Souayah, 90 Bergen Street, DOC 8100, Newark, NJ 07101; e-mail: souayani{at}umdnj.edu

We report a 34-year-old woman who developed clinical botulism after the cosmetic use of an unapproved botulinum toxin type A. Electrophysiologic findings demonstrated complete denervation with complete electrical silence. She had a lengthy recovery but was able to ambulate by discharge.

Disclosure: The authors report no conflicts of interest.

Received January 17, 2006. Accepted in final form July 12, 2006.




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