Skip to main content

Motor Nerve Terminal Morphology Following Botulinum a Toxin Injection in Humans

  • Chapter
Botulinum and Tetanus Neurotoxins
  • 206 Accesses

Abstract

Botulinum A toxin injection into muscle is an important form of therapy for focal dystonias, including blepharospasm. The basis for the effect of botulinum toxin is paralysis of muscle by blocking neuromuscular transmission, as discussed elsewhere in this volume. The block of neuromuscular transmission produces functional muscle denervation. Muscle denervation stimulates changes in terminal motor axons and neuromuscular junctions, which can, in some types of denervation, be a repair process. This paper will discuss the morphology of motor nerve terminals and neuromuscular junctions following two types of denervation, the morphology the neuromuscular junction following botulinum toxin in experimental animals, and the response of the human neuromuscular junction to injection of botulinum toxin.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Wohlfart G. Collateral sprouts from residual motor nerves in amyotrophic lateral sclerosis. Neurology 7: 124–34 (1957).

    Article  PubMed  CAS  Google Scholar 

  2. C. Ide, K. Tohyama, et al. Schwann cell basal lamina and nerve regeneration. Brain Research 288: 61–75 (1983).

    Article  PubMed  CAS  Google Scholar 

  3. M.V. Edds. Collateral regeneration of residual motor axons in partially denervated muscles. J Exp Zool 113: 517–551 (1950).

    Article  Google Scholar 

  4. H. Hoffman. Local reinnervation in partially denervated muscle. A histophysiological study. Aust J Exp Biol 28: 383–97 (1950).

    Article  CAS  Google Scholar 

  5. W.G. Hopkins, M.C. Brown, R.J. Keynes. Nerve growth from nodes of Ranvier in inactive animals. Brain Res 222: 125–128 (1981).

    Article  PubMed  CAS  Google Scholar 

  6. M.0 Brown, R.L. Holland, W.G. Hopkins. Motor nerve sprouting. Ann Rev Neurosci 4: 17–42 (1981).

    Article  Google Scholar 

  7. K. Alderson, W.0 Yee, A. Pestronk. Reorganization of intrinsic components in the distal motor axon during outgrowth Journal of Neurocytology, 18: 541–552 (1989).

    CAS  Google Scholar 

  8. K. Alderson, A. Pestronk, W.C. Yee, D.B. Drachman. Silver-CholinesteraseImmunocytochemistry: A new neuromuscular junction stain. Muscle Nerve 12: 9–14 (1989).

    Article  PubMed  CAS  Google Scholar 

  9. L.W. Duchen. Changes in motor innervation and cholinesterase localization induced by botulinum toxin in skeletal muscle of the mouse: Differences between fast and slow muscles. J Neurol Neurosurg Psychiatry 33: 40–54 (1970).

    Article  Google Scholar 

  10. L.W. Duchen, S.J. Stritch. The effects of botulinum toxin on the pattern of innervation of skeletal muscle in the mouse. Q J Exp Physiol 53: 84–89 (1968).

    PubMed  CAS  Google Scholar 

  11. I. Kao, D.B. Drachman. Motor nerve sprouting and acetylcholine receptors. Science 193: 1256 (1978).

    Article  Google Scholar 

  12. W.N. Gillum, R.L. Anderson. Blepharospasm surgery: An anatomical approach. Arch Ophthalmol 99: 1056–1062 (1981).

    Article  PubMed  CAS  Google Scholar 

  13. J.B. Holds, K. Alderson, S.G. Fogg, R.L. Anderson. Terminal nerve and motor end plate changes in human orbicularis muscle following botulinum A injection. Invest Ophthalmol Vis Sci 31: 178–181 (1990).

    Google Scholar 

  14. K. Alderson, J.B. Holds, R.L. Anderson. Botulinum-induced alteration of nerve-muscle interactions in the human orbicularis oculi following treatment for blepharospasm. Neurology 41: 1800–1805 (1991).

    Article  PubMed  CAS  Google Scholar 

  15. L.W. Duchen, D.A. Tonge. The effects of implantation of an extra nerve on axonal sprouting usually induced by botulinum toxin in skeletal muscle of the mouse. J Anat 124: 205215 (1977).

    Google Scholar 

  16. C.P. Harris, K. Alderson, J. Nebeker, J.B. Holds, R.L. Anderson. Histology of human orbicularis muscle treated with botulinum toxin. Arch Ophthalmol 109: 393–395 (1991).

    Article  PubMed  CAS  Google Scholar 

  17. R.F. Spencer K.W. McNeer. Botulinum toxin paralysis of adult monkey extraocular muscles. Arch Ophthalmol 105: 1703–1711 (1987).

    Article  PubMed  CAS  Google Scholar 

  18. S.R. Cohen, J.W. Thompson, F.S. Camion. Botulinum toxin for relief of bilateral abductor paralysis of the larynx: Histological study in an animal model. Ann Otol Rhinol Laryngol 98: 213–216 (1989).

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer Science+Business Media New York

About this chapter

Cite this chapter

Alderson, K. (1993). Motor Nerve Terminal Morphology Following Botulinum a Toxin Injection in Humans. In: DasGupta, B.R. (eds) Botulinum and Tetanus Neurotoxins. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9542-4_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-9542-4_7

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-9544-8

  • Online ISBN: 978-1-4757-9542-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics