Should I be receiving unilateral or bilateral Botulinum toxin injections for my SD?
Once again, there is no standard rules for injecting Botulinum toxin regarding dose or number of locations. Most commonly, bilateral injections are done for adductor spasmodic dysphonia. This is based on the notion that the disorder is bilateral and symmetric. However, in certain patients a unilateral injection may be preferable to minimize side effects. For AbSD, it is typical to inject either one side only or one side with a large dose and the other side a small dose. The patient will then return approximately three weeks following this procedure for a repeat injection, depending upon the response to the first injection. What happens if I do not get treatment? Available treatments for both forms of SD are able only to alleviate symptoms. Opting not to be treated has no effect on the underlying central nervous system disorder. Patients should only continue with treatment if they feel it is of benefit to them. What are the common complications? Most complications of treatment are the r
