R. Giess et al., Injections of botulinum toxin A into the salivary glands improve sialorrhoea in amyotrophic lateral sclerosis, J NE NE PSY, 69(1), 2000, pp. 121-123
Sialorrhoea is a socially disabling problem in bulbar amyotrophic lateral s
clerosis (ALS). Botulinum toxin A (BoNT/A) was injected into the salivary g
lands in five patients with bulbar ALS and sialorrhoea. The effect of BoNT/
A was measured by the number of paper handkerchiefs used each day and by sa
livary gland scintigraphy. BoNT/A ameliorated sialorrhoea and quality of li
fe without major adverse effects. BoNT/A may be a relatively safe and effec
tive treatment for sialorrhoea in selected patients.