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Improvement of Tension-Type Headache When Treating Wrinkles With Botulinum Toxin A Injections

Authors

  • Alastair Carruthers BM, BCh, FRCP,

    Corresponding author
    1. From the Department of Dermatologic Surgery, Vancouver (British Columbia) Hospital & Health Sciences Centre (Dr. A. Carruthers),
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  • James A. A. Langtry MBBS,

    1. Dr. Langtry is presently with the Department of Dermatology, Sunderland (UK) Royal Hospital.
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  • Jean Carruthers MD, FRCS(C), FRCS(UK),

    1. Department of Ophthalmic Surgery, Vancouver (British Columbia) Hospital & Health Sciences Centre (Dr. J. Carruthers), and
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  • Gordon Robinson BSc, MD, FRCP(C)

    1. Department of Neurology, Vancouver (British Columbia) Hospital & Health Sciences Centre(Dr. Robinson).
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Address all correspondence to Dr. Alastair Carruthers, Dermatologic Surgery, Vancouver Hospital & Health Sciences Centre, Vancouver, BC V5Z 1M9, Canada.

Abstract

Botulinum toxin A has been used to treat a spectrum of neuromuscular diseases. In recent years, it has become an accepted treatment for dynamic facial wrinkles. Following treatment of glabella and forehead wrinkles with botulinum toxin A, 9 of 134 patients coincidentally reported improvement of tension-type headache. We have retrospectively studied this group of patients in whom improvement of facial wrinkles closely paralleled improvement of tension-type headache. This observation suggests a role for muscle action in tension-type headache and a novel treatment.

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