Upper Extremity Muscle Weakness Following Axillary Botox Injection With Sterile Water Reconstitution: A Case Report
Severe, unexpected pain during botulinum toxin injection is a critical red flag for reconstitution error. Using sterile water instead of normal saline may cause atypical, wider-spread effects like proximal muscle weakness, even at standard doses. Strict adherence to saline reconstitution is essential to prevent this complication.
Authors
- Mohammad Reza Maghsoudi
- Pouria Chaghamirzayi (ORCID: https://orcid.org/0000-0002-0100-1190)
- Mohammad Azizmanesh
- Javad Karimi Rozveh
Institutions
- Jahrom University of Medical Sciences (IR)
Publication Details
- Journal
- Clinical Case Reports
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1002/ccr3.71681
- Primary Topic
- Botulinum Toxin and Related Neurological Disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00