Résumé
La toxine botulique de type A est une neurotoxine puissante, largement utilisée pour le traitement des hyperactivités musculaires telles que la dystonie et la spasticité. Plusieurs études cliniques récentes ont indiqué son intérêt par voie sous-cutanée ou intradermique dans les douleurs neuropathiques et la névralgie faciale essentielle. Cette revue fait le point sur l’efficacité, la sécurité d’emploi et les mécanismes potentiels d’action de la toxine botulinique de type A dans les douleurs neuropathiques périphériques ou centrales, ainsi que dans la névralgie faciale essentielle.
Abstract
Botulinum toxin type A is a potent neurotoxin which is widely used in the treatment of conditions involving muscular hyperactivity, such as dystonia and spasticity. Several recent clinical trials have indicated its beneficial impact, given subcutaneously or intradermally, on neuropathic pain and essential facial neuralgia. This review highlights the efficacy, safety of use and the potential mechanisms of action of botulinum toxin type A in peripheral or central neuropathic pain, and in essential facial neuralgia
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Attal, N. Toxine botulinique et douleurs neuropathiques. Douleur analg 30, 185–191 (2017). https://doi.org/10.1007/s11724-017-0535-y
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DOI: https://doi.org/10.1007/s11724-017-0535-y