Ultrasound-guided botulinum toxin A injection in the treatment of belly dancer’s dyskinesia

Al-Shubaili, Asmahan; Abou‐Al‐Shaar, Hussam; Santhamoorthy, Ponnusamy; Attia, Hosam; Bohlega, Saeed

doi:10.1186/s12883-016-0746-5

Cited by 14 publications

(9 citation statements)

References 20 publications

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“…So far, no treatment modality has been recommended for the management of this condition. Therefore, the prognosis of BDD is highly unpredictable [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Belly Dancer's Dyskinesia: A Glimpse of a Rare Phenomenon

Gupta

Kushwaha

2017

Cureus

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Belly dancer's dyskinesia (BDD) is an extremely rare manifestation consisting of involuntary and repetitive rhythmic movements of the abdominal wall. These movements cannot be voluntarily suppressed but may be influenced by respiratory maneuvers. Investigations such as spinal cord and abdominal imaging usually fail to reveal any local abnormalities to explain the movement disorder.A 23-year-old male presented with sudden onset of undulating movements of the abdominal wall for the last two months after he took domperidone. There was no associated pain or effect of respiration. The movements used to subside during sleep. His radiological and hematological evaluations were inconclusive. The movements, however, subsided after administration of promethazine and clonazepam.The cause of BDD varies, making diagnosis difficult. One of the causes being drug induced but it has never been reported earlier by domperidone. Also, our report provides a possible way to manage BDD by clonazepam and promethazine.

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“…So far, no treatment modality has been recommended for the management of this condition. Therefore, the prognosis of BDD is highly unpredictable [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Belly Dancer's Dyskinesia: A Glimpse of a Rare Phenomenon

Gupta

Kushwaha

2017

Cureus

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“…Previous studies administered amounts of BoNT injection to the rectus abdominis muscle ranging from 200–600 units with one to six injection sites [ 48 , 49 , 50 ]. However, according to the result, we recommend an injection of BoNT in pedicled flap at eight points, and free flap at the lower four points ( Figure 2 ).…”

Section: Discussionmentioning

confidence: 99%

Application of Botulinum Neurotoxin Injections in TRAM Flap for Breast Reconstruction: Intramuscular Neural Arborization of the Rectus Abdominis Muscle

Lee

et al. 2021

Toxins

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Breast reconstruction after mastectomy is commonly performed using transverse rectus abdominis myocutaneous (TRAM) flap. Previous studies have demonstrated that botulinum neurotoxin injections in TRAM flap surgeries lower the risk of necrosis and allow further expansion of arterial cross-sectional diameters. The study was designed to determine the ideal injection points for botulinum neurotoxin injection by exploring the arborization patterns of the intramuscular nerves of the rectus abdominis muscle. A modified Sihler’s method was performed on 16 rectus abdominis muscle specimens. Arborization of the intramuscular nerves was determined based on the most prominent point of the xyphoid process to the pubic crest. All 16 rectus abdominis muscle specimens were divided into four muscle bellies by the tendinous portion. The arborized portions of the muscles were located on the 5–15%, 25–35%, 45–55%, and 70–80% sections of the 1st, 2nd, 3rd, and 4th muscle bellies, respectively. The tendinous portion was located at the 15–20%, 35–40%, 55–60%, and 90–100% sections. These results suggest that botulinum neurotoxin injections into the rectus abdominis muscles should be performed in specific sections.

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“…Even though BTX can be injected directly into abdominal wall, being guided by ultrasound can increases the accuracy of injections site and reduces the risk of complications. 13 This patient was prescribed with benzodiazepines but she did not use it.…”

Section: Discussionmentioning

confidence: 99%

Belly Dancer Dyskinesia During Pregnancy: Case Report from Harar, Eastern Ethiopia

Gure¹

2021

IMCRJ

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Introduction: Belly dancer dyskinesia (BDD) is an involuntary waving and writhing type of abdominal wall movement, which resemble those of a belly dancer. Worldwide only four cases of belly dancer dyskinesia during pregnancy were reported. In two of the reported cases, it has recurred in the succeeding pregnancy while the remaining one did not mention about the recurrence. I am reporting a 25 year old primigravida woman with gestational age of 25 weeks plus 6 days presented with involuntary, rhythmic and painful abdominal movement of three weeks duration and diagnosed as belly dancer dyskinesia after investigations. The abnormal body movement disappeared after delivery and did not recur in the second pregnancy. Conclusion: "Belly Dancer Dyskinesia" during pregnancy is a very rare type of disease with unknown etiology and a little known effective treatment against it.

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Ultrasound-guided botulinum toxin A injection in the treatment of belly dancer’s dyskinesia

Cited by 14 publications

References 20 publications

Belly Dancer's Dyskinesia: A Glimpse of a Rare Phenomenon

Belly Dancer's Dyskinesia: A Glimpse of a Rare Phenomenon

Application of Botulinum Neurotoxin Injections in TRAM Flap for Breast Reconstruction: Intramuscular Neural Arborization of the Rectus Abdominis Muscle

Belly Dancer Dyskinesia During Pregnancy: Case Report from Harar, Eastern Ethiopia

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