Neuropediatrics 2002; 33(4): 221-223
DOI: 10.1055/s-2002-34500
Technical Note

Georg Thieme Verlag Stuttgart · New York

Sonography-Guided Injection of Botulinum Toxin A in Children with Cerebral Palsy

S. Berweck, A. Feldkamp, A. Francke, J. Nehles, A. Schwerin, F. Heinen
  • Children's Hospital, Duisburg Clinics, Germany
Further Information

Publication History

Received: September 24, 2001

Accepted after Revision: March 2, 2002

Publication Date:
07 October 2002 (online)


Visual identification of muscles and depth control of needle placement are the key features of sonography-guided injection that lead to improved targeting and safety of BoNT/A injections. This method may be especially helpful to validate already established injection techniques or when learning the correct injection technique. We recommend sonography-guided injection as a simple and painless “add-on” to the currently used standard procedure of palpation. The additional expenditure for sonography-guided injection is more than offset by the improved reliability in correct needle placement.


  • 1 Fischer A Q, Carpenter D W, Hartlage P L, Carroll J E, Stephens S. Muscle imaging in neuromuscular disease using computerized real-time sonography.  Muscle Nerve. 1988;  11 270-275

M.D. Steffen Berweck

Klinik für Kinderheilkunde und Jugendmedizin, Klinikum Duisburg, Wedau Kliniken

Zu den Rehwiesen 9

47055 Duisburg