{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:13:08Z","timestamp":1777864388889,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[1991,11,1]],"date-time":"1991-11-01T00:00:00Z","timestamp":688953600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Soc Med"],"published-print":{"date-parts":[[1991,11]]},"abstract":"<jats:p>Botulinum toxin has been successfully used to treat spasmodic torticollis. The optimum dosage is not clear and the recommended doses in the United Kingdom are 20\u201325 ng. We have used much lower doses (average 13 ng) without loss of efficacy and accompanied by a reduction in side effects. We treated 12 patients (eight women and four men) with a mean duration of torticollis of 4 years. Eleven of the 12 patients (91%) showed an improvement in total scores for pain and degree of head movement. The benefits appeared a week after treatment and lasted for 3 months. Side effects were minimal and transient. Our experience suggests low doses of the toxin may be equally efficacious.<\/jats:p>","DOI":"10.1177\/014107689108401107","type":"journal-article","created":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T05:56:33Z","timestamp":1658296593000},"page":"650-651","source":"Crossref","is-referenced-by-count":6,"title":["Low Dose Botulinum Toxin in Spasmodic Torticollis"],"prefix":"10.1177","volume":"84","author":[{"given":"D F","family":"D'Costa","sequence":"first","affiliation":[{"name":"Department of Neurology, Leicester Royal Infirmary, Leicester LE1 5WW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R J","family":"Abbott","sequence":"additional","affiliation":[{"name":"Department of Neurology, Leicester Royal Infirmary, Leicester LE1 5WW"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1991,11,1]]},"reference":[{"key":"bibr1-014107689108401107","first-page":"362","volume-title":"Movement disorders","volume":"2","author":"Fahn S","year":"1987"},{"key":"bibr2-014107689108401107","doi-asserted-by":"publisher","DOI":"10.1126\/science.785600"},{"key":"bibr3-014107689108401107","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1985.01050030043017"},{"key":"bibr4-014107689108401107","first-page":"734","author":"Scott AB","year":"1981","journal-title":"Trans Am Ophthal Soc"},{"key":"bibr5-014107689108401107","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.51.7.920"},{"key":"bibr6-014107689108401107","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)92070-2"},{"key":"bibr7-014107689108401107","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.39.1.80"},{"key":"bibr8-014107689108401107","first-page":"120","volume":"36","author":"Brin MF","year":"1986","journal-title":"Neurology"},{"key":"bibr9-014107689108401107","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880100610"}],"container-title":["Journal of the Royal Society of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107689108401107","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107689108401107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:41:09Z","timestamp":1777527669000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/014107689108401107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,11]]},"references-count":9,"journal-issue":{"issue":"11","published-print":{"date-parts":[[1991,11]]}},"alternative-id":["10.1177\/014107689108401107"],"URL":"https:\/\/doi.org\/10.1177\/014107689108401107","relation":{},"ISSN":["0141-0768","1758-1095"],"issn-type":[{"value":"0141-0768","type":"print"},{"value":"1758-1095","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,11]]}}}