Botulinum Toxin Type A Injections for Refractory Abdominal Dystonia: A Case Report

Background: A 58-year-old male with chronic bilateral treatment resistant abdominal spasms secondary complications of ascites/ alcoholic cirrhosis. Spasms would occur 4-5 times/day, lasting minutes to hours despite a 2-year course of therapeutic and pharmacological interventions. Due to treatment refraction, 6 uniformly spaced botulinum toxin type A (BTX-A) injections were placed per side, using electromyography for audible intramuscular syringe placement confirmation, while visual confirmation was made via ultrasound. During the initial trial, 6 evenly spaced injections were performed bilaterally, uniformly distributing 80U/side. Injections began bilaterally just medial to the junction of the inferior rib cage border/ anterior axillary line and progressed in a handpocket direction to the inferomedial abdomen just below the umbilicus. Subsequent dose titration followed the same injection protocol. Methods: Per Bon Secours Mercy Health IRB policy, this case report does not qualify for Mercy Health North IRB, and a formal statement from them has been obtained. Results: When compared to baseline, the patient’s abdominal pain and spasms reduced 33%, with a simultaneous 50% reduction total daily duration by week 1. On week 12, the patient reported exceptional functionality, sleep improvement, and no reduction of postural stability. With symptoms worsening days prior to week 12 follow up, BTX-A dosage was increased to 240U (120U each side). By week 24 follow-up, the patient has an 88% pain reduction from baseline, and eradication of spasms. During this visit, 360U (180U each side) was injected for longer therapeutic relief. The patient will now only return as needed for subsequent injections. Conclusion: To our knowledge, this is the first case reporting the use of BTX-A injection therapy for cirrhosis induced abdominal spasms refractory to traditional interventions. BTX-A injection under electromyography and ultrasound guidance appears to be a safe and effective treatment for refractory chronic abdominal spasms

The Student Movement Volume 105 Issue 12: Driving-In to the Spider-Verse: AUSA Hosts Arachnid Movie Night

NEWS Andrews University Wind Symphony Holds Vespers, Jenae Rogers One Year Later: Reflecting on the Changes at Andrews University Since COVID-19, Taylor Uphus The Center for Faith Engagement Hosts World Changers Week, Terika Williams PULSE COVID-safe Adventures, Interview by HeeYun Oh The Vaccine, Masy Domecillo What is St. Patrick\u27s Day?, Interviews by Wambui Karanja HUMANS AUSA Art Director Interview, Interviewed by Brandi Seawood Examining the Myanmar Crisis with Rebecca Fanai, Interviewed by Fitz-Ear McKenzie II The Day Our World Shut Down, Interviews by Terika Williams ARTS & ENTERTAINMENT Creative Spotlight: Karenna Lee, Interviewed by Megan Napod Current Favorite Women in the Arts, Kaela McFadden Cuties: Social Value vs. Social Harm, Hannah Cruse IDEAS Allow the Good Things, Evin N. Musgrove What You Can Do: Allyship for the Everyday, Abigail Lee THE LAST WORD Reaching for the Impossible, Kurt Kuhlmanhttps://digitalcommons.andrews.edu/sm-105/1016/thumbnail.jp

The Student Movement Volume 16 Issue 19: Strut to the Beat of Your Own Drum: AUnited Serves Diversity Through Style

HUMANS Honors Research Scholar: Jessica Rim, Interviewed by: Lauren Kim Senior Spotlight: Matthew Shelton, Interviewed by: Timmy Duado Student Movement Editor-in-Chief Candidate: Alannah Tjhatra, Interviewed by: Karenna Lee ARTS & ENTERTAINMENT AU\u27s New Community Art Classes, Megan Napod Son of Man, I Have Made Thee a Watchman : An Update on The Watchmen Acapella, Interviewed by: Steven Injety The AUnited Fashion Show, Solana Campbell NEWS Spring Graduation Schedule 2022, From the President\u27s Office and the Graduation Committee Statement from Vice President Faehner on Instagram Harassment, Abigail Lee, Francis Faehner, and Alyssa Palmer Sexual Assault Awareness Month: Take Back the Night , Andrew Pak IDEAS How To: Get Rid of that One Friend that Always Drops By at the Worst Moments, Gabriela Francisco Money, Unionization, and Assumption, Yoel Kim Should Kids Be Raised With Minimal Technology?, Elizabeth Getahun The Anonymous Elephant in the Room, Abigail Lee PULSE Infusion Vespers 2022, Wambui Karanja Other User, Anonymous What We Want, What We Need: Student\u27s Hopes for AUSA, Alannah Tjhatra THE LAST WORD Engagement Above All, Kurt Kuhlmanhttps://digitalcommons.andrews.edu/sm-106/1018/thumbnail.jp

P-26 Infamy, Lies, and Loss: The Downfall of the German-American Bund

This project focuses on the German-American Bund, the largest Nazi organization in the United States, and those specific events that led to its collapse. First, a February 1939 Bund rally in Madison Square Garden made them more infamous across the country. Then Bundesführer Fritz Kuhn appeared before the Dies Committee in Congress to testify about Bund activities in the U.S. Finally, in December 1939 Kuhn was convicted on charges of larceny and forgery and sent to prison. Following his incarceration, the Bund was unable to hold together without his leadership, and dissolved within two years, immediately following Pearl Harbor