{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T16:02:33Z","timestamp":1778169753941,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T00:00:00Z","timestamp":1711411200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PRM"],"published-print":{"date-parts":[[2024,3,26]]},"abstract":"<jats:p>This report describes a 15-year-old female with known spastic and dystonic quadriplegic cerebral palsy (CP), Gross Motor Function Classification System IV, and obstructive sleep apnea (OSA). She experienced decreased apneic episodes after receiving onabotulinumtoxin A (BoNT-A) injections for the treatment of oromandibular dystonia (OMD). After her OSA diagnosis, she initially received injections to the bilateral masseter and temporalis muscles with no effect on the frequency of nightly apneic episodes. Subsequently, the bilateral lateral pterygoid muscles were added and she was later noted to have fewer apneic episodes overnight. This case report describes the use of BoNT-A in the muscles of mastication for management of OMD and the ensuing improvement in OSA in a teenager with CP.<\/jats:p>","DOI":"10.3233\/prm-220105","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T12:12:02Z","timestamp":1690546322000},"page":"125-129","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of oromandibular dystonia with botulinum toxin A improves apnea in a teenager with quadriplegic cerebral palsy: A case report"],"prefix":"10.1177","volume":"17","author":[{"given":"Jeremy","family":"Roberts","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital Colorado, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Tenaglia","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center, NewYork-Presbyterian Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Bellissimo","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center, NewYork-Presbyterian Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heakyung","family":"Kim","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/PRM-220105_ref1","unstructured":"Gross Motor Function Classification System (GMFCS). Allambie Heights, New South Wales, Australia: Cerebral Palsy Alliance [updated 2018; cited 2022 Feb 17], Available from: https:\/\/cerebralpalsy.org.au\/our-research\/about-cerebral-palsy\/what-is-cerebral-palsy\/severity-of-cerebral-palsy\/gross-motor-function-classification-system\/"},{"key":"10.3233\/PRM-220105_ref2","unstructured":"Dystonia in Cerebral Palsy. Milwaukee: American Academy for Cerebral Palsy and Developmental Medicine; 2016 [cited 2022 Feb 17], Available from: https:\/\/www.aacpdm.org\/publications\/care-pathways\/dystonia-in-cerebral-palsy"},{"issue":"1","key":"10.3233\/PRM-220105_ref3","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1136\/adc.88.1.75","article-title":"Respiratory problems in children with neurological impairment","volume":"88","author":"Seddon","year":"2003","journal-title":"Arch Dis Child"},{"issue":"4","key":"10.3233\/PRM-220105_ref4","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1111\/j.1469-8749.1994.tb11850.x","article-title":"Sleep abnormalities in patients with severe cerebral palsy","volume":"36","author":"Kotagal","year":"1994","journal-title":"Dev Med Child Neurol"},{"issue":"2","key":"10.3233\/PRM-220105_ref5","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1177\/2042533312472115","article-title":"An evidence-based review of botulinum toxin (Botox) applications in non-cosmetic head and neck conditions","volume":"4","author":"Persaud","year":"2013","journal-title":"JRSM Short Rep"},{"issue":"2","key":"10.3233\/PRM-220105_ref6","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1007\/s00702-018-1960-7","article-title":"Botulinum neurotoxin a therapy efficacy and safety for oromandibular dystonia: a meta-analysis","volume":"126","author":"Dadgardoust","year":"2019","journal-title":"J Neural Transm (Vienna)"},{"issue":"7","key":"10.3233\/PRM-220105_ref7","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.5664\/jcsm.8454","article-title":"Obstructive sleep apneadue to oromandibular dystonia and treated withbotulinum toxin","volume":"16","author":"Hsu","year":"2020","journal-title":"J Clin Sleep Med"}],"container-title":["Journal of Pediatric Rehabilitation Medicine"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/PRM-220105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:40:17Z","timestamp":1777610417000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/PRM-220105"}},"subtitle":[],"editor":[{"given":"Rachel","family":"Byrne","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Heakyung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Raffi","family":"Najarian","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Justin","family":"Ramsey","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Sruthi","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,3,26]]},"references-count":7,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3233\/prm-220105","relation":{},"ISSN":["1874-5393","1875-8894"],"issn-type":[{"value":"1874-5393","type":"print"},{"value":"1875-8894","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,26]]}}}