Objective: This paper aims to present a rare case of dystonia gravidarum using Botolinum Toxin A as treatment.

Background: Dystonia is a rare event in pregnancy. This is the first case of dystonia gravidarum to be documented in the Philippines and the fourth case in the world after extensive literature review. This is the first documented case of dystonia gravidarum to occur in a multigravida and in the second trimester. Botolinum Toxin A injection is a treatment option for dystonia gravidarum. 

This is a case of a 33-year-old multigravid Filipino at 15 weeks age of gestation (AOG) who sought consult for complaints of upper back spasms which progressed to left laterocollis, vocal tremors, shoulder elevations. Patient was initially given Zolpidem and Biperidin. Due to failure of response to treatment, Botolinum Toxin A was injected to the affected muscle groups as an alternative treatment which provided temporary relief. There was good fetal outcome and complete resolution of symptoms during the postpartum period without additional Botolinum Toxin A injections.

Method: Case report

Results: not applicable

Conclusion: This is the first case of dystonia gravidarum to be documented in the Philippines and the fourth case in the world after extensive literature review. Botilunum Toxin A injection is an alternative treatment modality for Dystonia Gravidarum.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/botolinum-toxin-a-in-a-33-year-old-multigravid-filipino-with-dystonia-gravidarum-a-case-report/