BACKGROUND: @entity158 can be a management challenge. Peripheral nerve/field stimulation may be an effective option for refractory cases, but direct muscle stimulation with facial twitching may result. Botulinum toxin injections have been used for @entity9663 and may be effective when facial stimulation results in unacceptable @entity121 due to peripheral stimulation. CASE PRESENTATION: A 53-year old female suffered with chronic, refractory @entity158 and @entity2704 . Her @entity158 began after a root canal of a left upper molar. She was trialed and then permanently implanted with a 1  *  8 sub-compact percutaneous stimulator lead, resulting in @entity158 control and reduced medication use. However, she experienced @entity9663 whenever the amplitude was above 2.75  A. Therefore, she was treated with botulinum toxin injections into her bilateral cheek, face, temple and occiput. This treatment provided excellent relief of the @entity2473 , allowing her to use her stimulator at high amplitudes, and thereby maximizing her @entity158 relief. She received two subsequent treatments of botulinum toxin injections at 5-month intervals with similar results. CONCLUSION: Peripheral nerve/field stimulation is being used for @entity10 and @entity158 . An undesirable side effect of this emerging therapy is direct muscle stimulation. Botulinum toxin injections may be an effective treatment modality when stimulation techniques provide @entity158 relief but also causes @entity121 .

Use of botulinum toxin injections to treat peripheral stimulator induced XXXX : a case report.

@entity2704 :: ('MESH:D008881', 'Disease') :: ['migraines'] @entity2473 :: ('MESH:D013035', 'Disease') :: ['facial spasms'] @entity158 :: ('MESH:D010146', 'Disease') :: ['improved pain', 'Facial pain', 'facial pain', 'pain'] @entity9663 :: ('MESH:D001764', 'Disease') :: ['blepharospasm'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headaches'] @entity121 :: ('MESH:D009135', 'Disease') :: ['muscle twitching', 'facial muscle twitching']
@entity121 :: (MESH:D009135,Disease) :: ['facial muscle twitching']
